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Additional Support Form
"
*
" indicates required fields
What is your best contact info:
Name
*
Phone Number
*
Does your phone number accept text messages?
Yes
No
Email
*
Home Address
*
What type of flooring is involved?
*
Please Select
Hardwood
Carpet
LVP
LVT
Laminate
Tile
Sheet Vinyl
When did you first notice the issue?
MM slash DD slash YYYY
Please attach photos of concerned areas by type:
Drop files here or
Select files
Accepted file types: jpg, png, pdf, jpeg, Max. file size: 50 MB.
Carpet: Have you had your carpet professionally cleaned?
Please Select
Yes
No
Attach a copy of the receipt
Max. file size: 50 MB.
Luxury Vinyl Plank: If concerns are located near or around eating areas?
Please Select
Yes
No
Attach photos of chair leg bottoms/chair leg protection.
Max. file size: 50 MB.
What rooms on the floor are affected?
What methods and products are used for cleaning your floor?
How often: (Per Week)
Is there extra material at the house?
Yes
No
Are there any preferred days of the week to schedule a visit to your home?
Monday
Tuesday
Wednesday
Thursday
Friday
Is there a preferred time window to schedule the visit?
8 am –12 pm
12 pm-5 pm
Anytime
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