First Name

Last Name

Phone

Address

City

State

ZIP Code

Color Selection

I understand that if the selected color(s) will require more than the specified number of coats outlined in the quote, additional charges will apply for the extra coats.

Color Details

Name and code of the color

What finish (sheen) will the paint have?

Which rooms will this color be applied to?

What surface will this color be applied to?

Click the button to add additional colors.

Logistics

Can we park our vehicles in your driveway?

Yes No Other

Other

Can we place a yard sign on your lawn while we work on your project?

Yes No

How will we enter the house?

Someone will be home to let you in We will provide you with a key We will provide you with the garage/door code Other

Other

Which door should we use to bring our tools inside your home?

What bathroom can our painters use?

What's the best way to communicate the daily progress if you're not home when we leave at the end of the day?

Other

If we are painting multiple areas, do you have a preference on where we should start first?

Special Requirements

Homeowner Responsibilities I acknowledge that I, as the homeowner am responsible for the following:

Personal Items

Removing all personal items

Before Painting

Completing all work before painting in our specific area work area

Secure Pets

Keeping all pets secured After we set up our work area.

(we don't want paint to get on them or for them to eat something that could get them sick)

Left Moon Responsibilities I acknowledge that Left Moon is responsible for the following:

Removing Window Treatments

Removing all window treatments prior to painting.

Moving & Working big tvs

Moving & working around big tvs, couches, empty bookshelves

Everything promised

Everything promised in our estimate.

Applying tapes

Left Moon Painting might be applying low tack Yellow/Blue Frog Tape or 3M Purple Delicate tape to the floors, walls, ceilings or cabinets, to protect them from paint spatter, and I approve them to do this to protect these surfaces. I understand that Left Moon Painting is not responsible for any finish failure on these surfaces. I also understand that if I do not want them to apply tape to these areas, that I am responsible for protecting these areas myself before the work starts.

Select one please

By signing here, I acknowledge that I have read and understood all my responsibilities as a homeowner, and I agree to comply with them.

Project Logistics and Color Scheme