Custom Surface Pattern Designs REQUEST FORM Name * First Name Last Name Phone * What's the best number to reach you at? (###) ### #### Email * Business/Organization Name * Website or Social Handle (If you have one) Tell me about your project. How can I help bring your vision to life? * What type of product will you be printing the design on? * How long would you like to license the design for? * How many prints would you like? What kind of print are you looking for? i.e. Simple (1-2 motifs), Mid (3-4 motifs), Complex (5-7 motifs) Additional Information i.e. Do you require multiple colour ways, Pantone references, theme, etc.? Do you have a deadline for final file delivery? MM DD YYYY Thank you!