Canvasworks Custom Order Form

If you are considering having Canvasworks create a floorcloth for your home, please fill out the following form. Allow one to two weeks for Lisa Curry Mair to create a computerized rendering of your project, complete with pricing information. When you've reviewed her proposal you can decide if you'd like to order, modify or reject the design.

First Name:
Last Name:
Phone:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
E-Mail:
If the design you would like to use is from the material Canvasworks has sent you, or if you found it on the website (for an overview of all the designs, go to the Design Gallery) please indicate the name here:

If you are supplying us with a different design, please give it a name here:

What shape would you like your floorcloth to be?	Rectangle Square Oblong Octagon If other, please describe:

What size would you like your floorcloth to be? Floorcloths more than 9.5 ft wide will have a seam.

What colors would you like to use (from Canvasworks Colors or Benjamin Moore)

Would you like to use a Canvasworks border?	Border name: Colors:

Would you like any of the following paint effects applied to larger blocks of color? Your computer-generated rendering will show these effects so you can get an idea of what this will look like.	Marbling Sponging A light wash of slightly darker color