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First Name
Last Name
Address
City  
Zip Code
E-mail
   
Day Phone*
Cell Phone
(Recommended)
Evening Phone
Contact Time*
   

*Choose the appropriate status for this project:

*When would you like this request to be completed?

1. What kind of project is this? (Check all that apply)
Paint exterior
 Stain exterior wood
Paint interior
 Stain interior wood

2. Check off each feature that will need to be painted/stained. (Check all that apply)
Exterior door(s)
 Exterior siding
Exterior wood trim
 Fencing/Gate
Interior door(s)
 Interior walls
Interior wood trim
 Ceiling
Cabinetry
 Fireplace
Paneling
 Other


3. What best describes the surface type? (Check all that apply)
First time paint/stain (New/raw material)
 Previously painted with latex (water based) paint or stain
Previously painted with oil based paint or stain
 Textured drywall finish
Sprayed acoustic
 Plaster
Wood
 Metal
Brick
 Stone
Stucco
 Don't Know
Other


4. Describe any special circumstances of your job. (Check all that apply)
Mildew/Moisture problems
 Water stains
Smoke/Soot
 Heavy tobacco stains
Minor drywall texture/Repair
 Cathedral ceiling/Hard to reach area
Lead paint currently in home
 Other

* Provide a detailed description: Paint or Stain Single Items or Small Rooms  



Accepted payment methods Cash, Check or Credit Card* 

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