Mural Request Form Name * First Name Last Name Phone * (###) ### #### Can I text this phone number? * Yes please! No thanks! Email * What are the dimensions of your wall where you'd like your mural? Whether you have something exact in mind, you're flexible, or this question isn't applicable, please let me know. Check the box so I know you've taken a look at my work and we're on the same page. * My subject matter is generally focused on colorful landscape scenes and my painting style incorporates visible brushstrokes and impressionism. If you look at my instagram page (www.instagram.com/hannahjensencreative) and website and like the painting style you see, then we're on the right track! I have looked at your work and want a mural in your creative style. Describe your ideal mural! Give me as much detail as you can. * Confirm project timeline: * 1 month 1 - 3 months 3 - 6 months 6+ months Mural Location * If you are located far from the Bend, OR area travel costs will be added to the quote I live in the Bend area I do not live in the Bend area and understand I may incur additional costs Thank you so much for your interest in a custom piece of art!This form will be reviewed & you will hear back about the potential project within 1 work week.Please note that this request can be denied for any reason, and your request must be accepted by me AND a contract signed before I will start work on your custom art. Completion of this request form is just the first step to getting under contract for custom artwork.I look forward to hopefully working with you soon!