Customer Details

First Name: {name-1}

Address: {address-1-street_address}, {address-1-city}, {address-1-state}, {address-1-zip}

Phone Number: {phone-1}

Email Address: {email-1}

Additional Notes: {textarea-1}

Property Details

Storey: {select-1}

Bedroom: {select-2}

Bathroom: {select-3}

Powder Room/Washroom: {select-6}

Extras: {checkbox-1}