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Design Home: Client Informational Form

Contact Name:*
For internal contact purposes only.
Contact Email:*
For internal contact purposes only.
Contact Phone Number:*
For internal contact purposes only.
Photography Priority List:*
Please list the products you would like photographed for Virtual Design Home and Philadelphia magazine’s print publication. Please list in order of importance, 1 denoting the most important and 8 denoting the least important. We will try to include as many of your products as possible in Virtual Design Home and the issue. Your ranking will allow us to make sure we include what is most important to you.
Room Name Exact Product Name (Please include all TM and ® marks) Brief Product Description (Approx. 10 words) Priority? (1-8)
Resource Guide
We will also feature a resource guide for our readers in an upcoming issue of Philadelphia magazine. Please fill in the following information.
Company Full Title:*
Company Phone Number:*
Company Website:*

Room Name	Exact Product Name (Please include all TM and ® marks)	Brief Product Description (Approx. 10 words)	Priority? (1-8)

Design Home: Client Informational Form

Resource Guide