Please check if you have had custom window treatments before:

Who will be involved in making decisions on your window treatments?
Just Me
My Spouse
Both of us
Include other family members or friends

The initial design appointment is complimentary and will last approximately 2 hours. What time is generally best for you? We will contact you by phone to set the actual appointment.
Mornings Afternoons Evenings Weekdays Saturdays

Is there an upcoming special event deadline that you would like us to meet if at all possible?

Have you set a budget for this project?

Under $500
$500-$1000
$1000-$2000
$2000-$5000
Whatever it takes!

Your name:
First: Last:

Spouse:
First: Last:

Daytime Phone: Home Phone:

Other Phone:

Address:

City:  State   Zip:

Email Address:

Would you like to receive future email newsletters from us regarding special sales, color trend information, new products, etc.?

Yes, Please
No, Thanks

How did you hear about Window Covering Gallery?

Preferences

What do you want your window coverings to accomplish?
  Functionality
Privacy
Light Control
Insulation
  Decoration
Add Style
Add Color
Make a Design Statement

Have you thought about what type of window treatment you prefer?
  Hard Treatments
Blinds
Shutters
Honeycomb Shades
Woven Shades: Woven Woods
Woven Shades: Grasses, Bamboos
Shadings: Silhouette
Shadings: Luminette
Vertical Blinds
  Soft Treatments
Draperies, Curtains
Side Panels
Valances: Swags
Valances: Cornices
Valances: Box Pleated
Valances: Gathered
Valances: Pleated
Valances: Arched, Angled
Roman Shades

Bedding Ensembles
Bedspread
Comforter
Bed Skirt
Pillow Shams
Canopy
Decorative Pillows

Color Schemes
Monochromatic
Polychromatic
  What is your color preference, or what colors are already in the room?

Prints
Florals, Vines, Leaves
Stripes
Plaids
Geometric
Splashes of Color
Other
Solids
Textures
Smooth
Silky
Woven design, tone-on-tone
Style
Contemporary
Traditional
Transitional
Southwest
Country
Lodge
Old World
Country French
Ethnic
Tailored, masculine look
Poufs, ruffles, feminine look
Juvenile
Other

I especially like:

I especially dislike:

We will contact you by phone the next business day to discuss your needs and set an appointment for your free designer consultation. Please be sure you have included your daytime phone number.

If it is inconvenient for you to receive a daytime call, check this box.
We will make contact with you as soon as possible in the evening or via email.

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