CONTACT INFORMATION:

Algonquin IL 847-844-3434 Crystal Lake, IL 815-788-0200 Palatine, IL 847-991-4900

Your Name : * REQUIRED
Your Phone : * REQUIRED
Your Email : * REQUIRED
Street : * REQUIRED
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State :
Zip Code :

 ESTIMATE INFORMATION CARPETING:
1. Which rooms need carpet cleaning?
Living room Kitchen
Dining room Stair Landing
Hall(s) Bedroom(s)
Entry Stairs
Bathroom(s) Other
2. Please describe your home or apartment.
Home - one story
Home - two stories
Home - Three stories or more
Apartment What Floor ? PLEASE INDICATE A NUMBER

How many rooms? PLEASE INDICATE A NUMBER

3. What level of preparation is necessary?

Only clean exposed carpet area
Move furniture and clean entire carpet

.4. Which problems or services will need special attention? (Check all that apply)
Oil or grease spots Water spots
Pet stains Soil filtration
Stain Guard Protection Soiling spots
Food / liquid stains Rust spots
Odor elimination Other
5.HOW SOON WOULD YOU LIKE THE WORK TO BE COMPLETED ?
PLEASE INDICATE A DATE
ESTIMATE INFORMATION UPHOLSTERY & OTHER:
1. Which furnishings do you want to have cleaned? (Check all that apply)
Sofa Loveseat
Armchair Dining Room Chairs
Sectional Sofa Ottoman
Recliner Walls/ Ceilings Mattresses

What Type of Matresses

King Queen Full

Double Twin Toddler

Other

2. What kind of fabric/padding do you want to have cleaned?

Cotton Leather Other

3. Would you like a protective coating such as Teflon, Scotchgard, etc. applied?

Yes No Not Sure

Estimate Information Flood / Smoke Damage:

1. Please choose which has happened?

Flood / Water Damage Small Fire Smoke Damage

2. What section of your location did this happen in ?


PLEASE INDICATE A LOCATION i.e. basement
3. Have you contacted your insurance provider yet?
ADDITIONAL INFORMATION, example - BEST TIME TO CONTACT YOU, WORK PHONE NUMBER

Algonquin IL ( Area) 847-844-3434 Crystal Lake, IL (Area) 815-788-0200 or Palatine, IL (Area) 847-991-4900

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