Date MM slash DD slash YYYY Intake Method Website Phone In-Person Name* First Last Phone*Email* Please Choose Delivery or Pick up*Pick UpDeliveryDelivery + InstallationAddressOnly required if Delivery is selected City State / Province / Region Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Product Inquiry (Please select from the list below) Floating Shelves Benches Side Table Dining Table Coffee Table Bar Other (please specify) Please specify "other"Shape of Project Rectangle Square Round Oval QuantityDimensions of Products (Inches)Please provide length, height, and thickness requiredTypes/Style of Furniture(Please enter selections from list below)DimensionalLive EdgeEpoxy Cast SlabRiver with Live edge sidesRiver with squared edgesOther (if other please specify)Please specify "other"Type of WoodPlease select one or more from the list below Walnut Maple Ash Oak Cherry Other (speicfy) Please Specify "other"Edge PreferencesBroken (hand sanded)Rounded OverChamfered EdgeOtherPlease specify "other"Wood Quality & Epoxy LevelEpoxy colour and characteristics Minimum Medium Extensive None Epoxy Colour Clear Black Other/Colour Please specify other/colourWill The Projects Require* C-Channels (Metal Reinforcements) HOVR Brackets (for floating shelves) Domino Connectors (mechanical non glued joint) None of the Above Finish OptionsNoneSatinMatteGlossPolished EpoxyBase Type Wood Metal No Base Required Metal Base OptionsTo learn more about the various bases we have, please visit our Bases page at www.metalwoodstudio.com/metal-basesNo BaseWishboneWineglassHaruNorahCleoNamuDracoCurvaXeniOriaGlittering Gold WishboneMatte Brass Gold WishboneGlittering Gold WineglassMatte Brass Gold WineglassYamiNuraLenaFarasAlvaRadixDracoCleoHarriCurvaUilaniNamuDentroArcoXerxesTulipeOdilaHerzHoshiUzarAlvaSummaHaruLumaNorahDeijiCleoRadixDracoLunaRamoHattyBotasCeliaXiulanCurvaNuraAkroXeniOriaArloXingLenaSnelloPriyaSeungVedaUdoFarasYamiIf Delivered, Accessibility Difficulty Easy Moderate Hard Please attach any reference photos, links or drawingsMax. file size: 500 MB.Notes:Please provide additional information as requiredΔ
