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Full Name:
Address:
City:
State:
Select from Menu
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District of Columbia
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Zip Code:
Email Address:
Home Phone:
(e.g., 333-222-1111)
Work Phone:
(e.g., 333-222-1111, ext. 420)
Cell Phone:
(e.g., 333-222-1111)
Painted before?
Yes
No
Chips?
Yes
No
Window?
Yes
No
Shower doors?
Yes
No
Plumbing operational?
Yes
No
Leaks/Drips?
Yes
No
Rental property?
Yes
No
Will someone meet us at the job site?
Yes
No
Color:
Work to be done:
$349
- Tub Refinished
(white/almond only)
(other color add $75)
$289
- Kitchen Sink
$199
- Bathroom Sink
$299
- 3 Tub Walls
$45
- No Skid on Tub
$459
- Fiberglass Shower Stall
$598
- Fiberglass Shower Unit
Full description of job requirements:
Select up to three dates that fit your schedule.
Preferred date (first choice):
MONTH
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YEAR
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2010
Preferred date (second choice):
MONTH
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YEAR
2008
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Preferred date (third choice):
MONTH
Jan.
Feb.
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DAY
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YEAR
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2010
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