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Design Home Vignettes: Client Informational Form

Company Name*
Company Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Company Phone Number*
Company Website*
Please note: "www." will be removed for print.
Aprox. 40 Word Company Contribution Description*
(Header example: American Walnut Hardwood Flooring) (Description Example: Our brand is providing spectacular, hand-scrapped, American walnut, hardwood flooring to convey a combination of traditional and contemporary design. Our brand will also provide an attractive selection of rugs, adding warmth and sophistication to the home.)
Photo Upload*
Please submit a high res (300 dpi,5x7) photo of an item you wish to promote with Design Home (i.e. faucet, flat screen TV, windows, etc.).
Accepted file types: jpg, jpeg, png, Max. file size: 50 MB.