Basic Info *
Full Name
*
Email Address
*
Phone
*
Purchase Intent (Optional)
What room(s) are you currently furnishing? (Check all that apply)
Living Room
Bedroom
Office
Dinning Room
Other
Are you looking for:
Ready-to-buy furniture
Fully custom pieces
Just browsing for now
Consent & Participation
_
Do you plan to enter the photo/video contest?
Do you give Park Road Furniture permission to use any photos/videos you post or submit during the event for marketing purposes?
What is your Instagram Handle? (OPTIONAL If you are a Participating in the content?)
What is your Instagram Handle? (OPTIONAL If you are a Participating in the contest?)