Wall location *

Please provide a street address for the wall.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Wall type *

Brick

Rendered Concrete

Shutter

Other

Wall Condition *

Please tick all that apply.

Tagged

Raw brick

Crumbling

New

Primed (old)

Primed (new)

Are there any overhead power lines? *

Yes

No

Is the wall on private property E.G. Car park? *

Yes

No

Can we get a scissor lift or similar to the wall? *

Yes

No

N/A

Will we have access to the following onsite? *

Water

Power

Parking

Toilets

Secure space to leave paint / equipment

Secure space to leave powered access (scissor lifts etc)

Can we access the wall during office hours? *

Mon-Fri 9am - 6pm

Yes

No