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Design Questionnaire

General Information
Today's Date:*
Store Name:*
Client Name:*
Street Address:*
Address 2:
Zip Code:*
Phone (Main):*
Phone (Cell):
Fax Number:
Email Address:*
Year in Business
Building Type:
Total Sq. Ft:*
Display Sq Ft:*
Project Time Line:
How Did Your Hear About Us:*
Project Type:*
New Store Existing Store
Yes No
Store Information
Store Type:
Eyewear & Optical Shoes Bags Accessories Clothing Electronics & Cell Phones Other
Number of products to be displayed:
Womens Mens Children's
Eyewear & Optical:
Electronics & Cell Phones:
Client Type:
Professionals Upper Middle Low Income
Display & Furniture Budget:
Under $10k $10k-$30k $30k-$50k Above $50k
Decor Preference:
Ultra Modern Modern Traditional Hybrid
Additional Note:
Floor Plan Upload
If you have a digital floorplan and/or images of your store in JPEG, PNG or PDF formats, please upload them here to help us better serve your design needs.
Image Upload:
Image Upload:
Image Upload:
*denotes required field
Terms & Conditions Designs are created free of charge including four hours of design work and 3 basic revisions/changes to the same design. If more than four hours of design work and/or more than 3 revisions are required or a new oor plan is given, customer may be asked for a good faith deposit. All designs are copyrighted property of CNS Displays and can not be shared with any other vendors and/or suppliers. CNS Displays will present the designs to the client via an online presentation tool, but the design les will not be sent to the client. An electronic copy of the completed design can be emailed to the client once a $300 good faith deposit is made by the client. This deposit can be applied towards future purchases. The right to use the design will be transferred to the client when all or a signicant part of incorporated products in the design are purchased, or the $300 deposit is made. Please call CNS Displays if you have any questions.

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