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Imperial Veneer Epoxy & Design Co.
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Intake form
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Name
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Email address
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What type of project are you interested in?
Please select at least one option.
Epoxy Floors
Countertops
Accent Walls
Interior Design
What is the size of your space?
Select
Less than 500 sq ft
500 - 1000 sq ft
1000 - 2000 sq ft
More than 2000 sq ft
What is your budget range?
Select
Under $1,000
$1,000 - $5,000
$5,000 - $10,000
Over $10,000
When do you plan to start the project?
Select
Immediately
Within a month
1-3 months
No specific timeline
Do you have any specific design preferences or styles?
Additional questions or comments
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