Appointment Information:

Postal Code:*
First Name:*
Last Name:*
Main Phone Number:*
Alternate Phone Number:
Street Address:*
Apt/Suite:
City:*
Province:*
Intersection:
Email:
Building Type:
e.g. House, Apartment, Business
    
*I agree that all decision-makers will be present at the time of the appointment.
Date Request
Time Request
Product and
Number of rooms
requested
Carpet:
Hardwood:
Vinyl:
Laminate:
Stairs:
Select Areas Basement
Bathroom(s)
Bedroom(s)
Den
Dining Room
Family Room
Hall
Kitchen
Living Room
Office
Patio
Other (if required)