Historic Color Consulting

by Robert Schweitzer

Historic hoouse colors

Customer Data Form

SAVE TIME - This form can be completed "on-line" and sent directly to me - - ON-LINE DATA FORM

Print this form, fill it out, and return it along with your photographs and payment to:

Robert Schweitzer

Historic Color Consulting
3661 Waldenwood Drive
Ann Arbor, Michigan 48105

PLEASE PRINT

Name ______________________________________	Today's Date _____________________
Street Address ____________________________________	Phone __________________________
City _______________________________ State ________________	Zip ______________
Service Requested ___ BASIC - two payments $400/150 (total $550) ___ TOP - $550 up front ___ RUSH - $640 up front	Extra Service Requested ___ New Roof color consulting - $70 ___ Porch design consulting - $85 ___ Garage/out building color consulting - $40
Shipping Options ___ FREE (via standard U.S. Mail) ___ PRIORITY MAIL - $10 ___ OVERNIGHT EXPRESS - $35 (included with Rush orders) TOTAL enclosed $__________________ Please include payments for "Extra Services" with initial check.	Email Address ______________________________ *Please print clearly or type*

Building faces in what direction? ________________________________

Relation to other buildings (by itself, on a block with others, other useful site information)

Age (when constructed, if known) ________________ Architectural style (optional) _____________________

Windows: are they wood, metal or vinyl? Do you plan to paint them?

Special architectural features of note:

Color of roof (will it change in the near future? If so what color(s) are you thinking about using?)

Brick, block or stone colors (you can reference your color photographs if the color reproduction is accurate)

Color Preferences (optional)
List (if you desire) general color thoughts for the body and trim. If you have a specific color swatch, attach it. If not, note shade preferences (e.g. light body with dark trim or vice versa)

Color Schemes
Are you specifically interested in historical colors, modern colors, or developing a detail highlighted "painted lady" style color scheme? On a scale of 1 to 10 how much detail do you wish to highlight? What words would you like your new color scheme to elicit? (Examples include "Classic," "Stunning," "Bold," and "Colorful.")

When do you plan on painting?