Registration Form
Please complete the information below
TITLE
Mr.
Mrs.
Ms.
FIRST NAME
LAST NAME
ADDRESS
CITY
STATE
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
ZIP CODE
TELEPHONE
(xxx) xxx-xxxx
E-MAIL
Room(s) to be
Remodeled
Scope to include:
Cabinets
Countertops
Lighting/Electrical
Flooring
Plumbing
Appliances
Carpentry
Millwork & Moldings
Heating & Air Conditioning
Resale/Increase home value
Improve design/function
Personal enjoyment/comfort
Update style/appearance
More storage
Desired start month
Project budget range
Financing method
Age of home