Name *

First Name

Last Name

Phone *

(###)

###

####

Will the site have the following during desired paint time? *

Please check all that apply This will help us know what equipment is necessary

Power

Water access

Air condition

Bathroom access

Small storage space for paint and supplies

Unsure

None

Will there be any of the below in front of, very close to, or on the wall during desired paint time? *

Please check all that apply Mural area will need to be as clear as possible before start date

Landscaping

Lighting or fixtures

Electrical wiring, posts or obstructions

Piping

Equipment

Signage

Furniture

Other

Unsure

None

Will anything need to be covered during desired paint time? *

Please check all that apply Mural area will need to be as clear as possible before start date

Floor

Landscaping

Lighting or fixtures

Electrical wiring, posts or obstructions

Piping

Equipment

Signage

Furniture

Other

Unsure

None