LA Fire Relief

Personal Information

Name

First Name

Last Name

Phone Number

Email Address

Property Details

Home Address Damaged by the Fire

New Home Address (if different)

Project Information

Tell us about your project

e.g., full renovation, partial redesign, specific rooms

What is your preferred design style

e.g., modern, traditional, minimalist, eclectic

Type of Project

e.g., new build, remodel

Renovation Budget

Finishing Budget

eg., furniture, decor, etc.

Are you working with an insurance company to fund this project?

Ideal Start Date

YYYY

Ideal Completion Date

YYYY

Additional Information

Is there anything else we should know about your project or circumstances?

K&M INTERIOR DESIGN