Your Name:  (required)

Your Relationship to the Project:  Owner Contractor Architect Interior Designer Other (required)

Address:  (required)
City:     State:     Zip:  (required)

Country: 

Phone:       Fax: 

E-mail:  (required)

How did you learn about JAI?   Internet Search Traditional Building Architectural Digest Editorial Publication Referral Other

JAI will be contracted by the:   Owner General Contractor Architect/Interior Designer

Nature of the project:   Residential Commercial Religious

Please Provide the following information about the project so that we

can accurately estimate the cost of your stained-glass ceiling dome:

Project Location:   (city, state/country)

Construction Start Date:   (mm/yy)

Estimated Completion Date:   (mm/yy)

What is the estimated size of the ceiling dome?:  

What is the desired shape of the ceiling dome?:   Round Hexagonal Oblong Octagonal

If you are inquiring about 8' RENDITION DOMES, what style do you select: Worthington Palm Court Regency Oak Park

Which dome selection: Faux Marble Faux Alabaster

Which color option?: Option 1 Option 2

If you are inquiring about 6' RENDITION DOME only, which type do you select?: Faux Alabaster Faux Marble

If you are inquiring about 8' RENDITION DOME only, what is your selection?: Standard as Selected Above Custom Style Design Custom Glass Color Both Custom Design and Color

What is the height of the available attic space?:  

What is the approximate distance from the floor to the desired location of the ceiling?:  

What is the preferred light source for the ceiling dome:   Artificial Back Light Natural Light Source Both

What is the style of the structure?:   Contemporary Traditional

Within the structure where is the dome to be located?:   Entry Foyer Conservatory Conference Room Waiting Area/Lobby Other

If other, specify:  

Please provide us with your approximate budget allocation for this project.  This will assist us in developing a design solution to creatively suit your budget: $3,500 - $16,000 $16,000 - $20,000 $20,000 - $35,000 $35,000 - $50,000 $50,000 - $100,000 $100,000 - $200,000 Over $200,000