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First Name
Last Name
Address
City
State Zip
Email:
Day Phone:
ext.
Cell Phone:
Eve. Phone:
Best time to contact you:
Any Phone - Any Time
Cell Phone - Any Time
Morning
Mid-day
Evening
Weekend
Type of job:
Interior
Exterior
Commercial
Industrial
Status of project:
Ready to hire
Planning and Bugeting
Completion By:
Timing is flexable
1 - 2 Weeks
3 - 4 Weeks
5 - 6 Weeks
7 - 8 Weeks
Is this location a historical structure:
Yes
No
Is this location a commercial location:
Yes
No
Do you own the home for this request:
Yes
No
What is the occupancy of the house
Furnished and Occupied
Furnished and Unoccupied
Enpty of Furnishings and Unoccupied
How many rooms need to be painted.
Which rooms need to be painted (Check All That Apply).
Whole House
Kitchen
Bathroon(s)
Bedroom(s)
Living Areas
Hallways
Stairway
Other
Will the new color be
A lighter color then the existing color
The same or simular to the existing color
A darker color the the existing color
Multiple colors
What is the average ceiling height in the house
Low (approx. 7 ft.)
Average (approx. 8 ft.)
High (approx. 12 ft.)
What other items do you need painted(Check All That Apply).
Ceilings
Cabinets
Doors
Door and Window Casings
Moldings
Paneling
Brick
Stone
Discribe any special circumstances of the job(Check All That Apply).
Mildew/ Moisture Problems
Water Stains
Smoke/ Soot
Heavy Tobacco Stains
Minor Drywall Texture Repair
Hard to reach Areas
Lead Paint in House
Other
Please provide a short description of the project