Name Your Price

Showcase Carpet and Tile, Inc

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Name Your Price Contact Form

Please complete the following contact form. A representative will be in contact within 24hrs with your price confirmation. Thank you for your business.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
Daytime Phone:
Evening Phone:
Email:
Number of Carpeted areas:
Apartment Information:	If you live in a apartment please check box and specify what floor
House Information:	If you live in a house please check box and specify number of floors

Preferred Time:	8:00 am to 10:00 am 11:00 am to 1:00 pm 2:00 pm to 4:00 pm 4:00 pm to 6:00 pm Weekends (By approintment only)
Preferred Date:
Condition of Carpet:	Lightly soiled Heavily soiled Pet Stains Water or Mold Damage
Name your Price:


Additional Information:	Please add additional services and or special needs here:

Disclaimer: Price confirmations are based on the information provided and solely for the services requested. For the protection of our clients no contract is entered until both parties agree on the services to be performed, time and date of the service and the price of the service. Additional services will need to be discussed and pre-approved before a service technician is dispatched to your home. Keep in mind that there is no guarantee that your price will be accepted and that once accepted it is limited to the validity of the information provided and the agreement made between both parties.