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Name
*
Address 1
*
Address 2
Phone 1
*
Phone 2
Phone 3
Fax
E-mail
*
Is this for
*
--
carpet
wood
laminate
tile
vinyl
marmoleum
other (please specify)
Do you rent, lease, or own this property?
--
rent
lease
own
Is this for an
--
apt
condo - house
other (please specify)
Residential or commercial application?
--
residential
commercial
Please briefly describe the jobsite area.
Is there existing flooring to be removed, if so, what kind?
Is there moisture you know of?
Is the slab in good shape or are there cracks, fissures or other potential problems?
Furnished or empty?
--
furnished
empty
If furnished, please list all items to be moved before installation:
Approximate room sizes, including closets, in square feet.
Are the areas connected?
Do you have any special requests or requirements? (Please explain.)
Please be advised that this is a rough estimate of the possible cost of installing flooring a the above referenced jobsite. This estimate may change upon doing a complete measure and assessment of the premises, as well as with the flooring material chosen, and in no way constitutes a final project bid.
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