1. Contact name:

2. Business name:

3. Email:

4. Phone:

5. Address:

6. Project for (check one): commercial; residential.

7. Project is (check one):  interior; exterior.

8. Project location (check all that apply): entrance/lobby; patio/pool/spa area;
                living room/trophy room/showroom; kitchen; other.

9. Interested in project of (check all that apply):

A. Artificial rock: free-standing mountain structure; mountain with cave; mountain wall;
   mountain wall for fireplace; to conceal support beams;  conceal audio/video; conceal door.

B. Waterfall: waterfall; waterfall with grotto or passage; water wall for fireplace.

C. Trees: trees; to conceal support beams; conceal audio/video.

D. Environment: desert; arctic/ ice wall; forest; swamp;tundra; mural; other.

10. Project in (check one): new construction; existing structure.

11. Do you have (check all that apply): blueprint; architect; interior designer.

12. Desired dimensions: (Width by Height - footage)

13. Your projected budget in thousands: (i.e.  $1,000.00)

14. Desired start date: (i.e. 12/01/2007)

15. Desired completion date: (i.e. 12/31/2007)

16. Additional comments:

- THANK YOU FOR YOUR INTEREST IN OUR EXCLUSIVE PIECES AND CUSTOMIZED SERVICES -

- SORRY, NO BROCHURES AVAILABLE -