Welcome to the 2010 Summer Spruce Up Designer Consulting Service. In order to apply for a one or two hour consultation with an ASID designer at the promotional rate of $100 per hour, simply complete the questionnaire below, then click Submit. You will receive acknowledgment that your application has been received. Applications will be accepted until all available slots are filled and responses will be used to determine which of our participating designers is best matched to consult with you. If your application is accepted, you can expect to be contacted by your assigned designer within approximately three weeks, at which point you and your designer should schedule your consultation at a mutually convenient time. At the conclusion of your appointment, please make your check payable to ASID Washington Metro Chapter and give it to your designer who will, in turn, send it to us. While there is no obligation to continue working with your designer after the SSU consultation, clients who wish to do so should expect to pay the designer's usual fees.

* denotes required fields
* Name:   Company: * Address Line 1:   Address Line 2: * City: * State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Zip: * Telephone (Please provide all applicable numbers and select preferred):    Home:      Work:      Cell:   * E-mail:
*	1.	How did you learn of the program?
		Newspaper Article Magazine Article Online Ad Print Ad Have Participated Previously Friend's Recommendation
	2.	Have you worked with an interior designer before?
		Yes No Additional Information:
	3.	What is your profession?
*	4.	Our “Spruce Up” program offers a minimum of one hour and a maximum of two hours for each design consultation. Please select number of hours requested below:
		1 Hour ($100) 2 Hours ($200) Undecided
*	5.	Please describe your design style. Check all that apply.
		Traditional Modern Contemporary Transitional (a blend of traditional and contemporary) Period Design Ethnic Theme Room/Novelty Formal Casual Eclectic Pottery Barn / Crate and Barrel style Additional Information:
*	6.	Type of facility. Check all that apply.
		Sole proprietorship Small business Large business Corporate / Professional services firm Retail store / Showroom Healthcare environment Educational environment Hospitality / Hotel / Restaurant
*	7.	Size of facility:
		Square feet OR Occupancy / Employees Additional Information:
*	8.	Your position in the business:
		Owner Management Professional Other employee
*	9.	Area of focus. Check all that apply.
		Overall facility Office suite within facility Individual / Personal Office / Workspace Support or Common Area / Shared Space (lobby/reception, cafeteria, retail space, etc.)
*	10.	Please select from the following list of concerns/priorities. Check all that apply.
		Space planning Rearranging existing furniture Accessibility / Barrier-free Accessorizing Furniture selection Finish selections "Green" guidelines / Sustainability Window treatments Lighting Other (Please describe below.) Additional Information:
*	11.	The owner/consumer agrees to release and hold the ASID Washington Metro Chapter and the Consulting Designer harmless from any and all claims arising out of the services provided to the owner/consumer under this program.
		Please check box