Room Information Form for Appliances, Countertops, Floors and Walls

YOUR NAME (required)

YOUR EMAIL (required)

ACCOUNT NUMBER

DATE

CEILING MOLDING MFG. NAME/PART#..............................
BASEBOARD MOLDING MFG. NAME/PART#.......................
FRIDGE MAKE/MODEL#...........................................................
RANGE/COOKTOP MAKE/MODEL#........................................
OVEN(S) MAKE/MODEL# ........................................................
DISHWASHER MAKE/MODEL# .............................................
LEFT OR RIGHT OF SINK? .....................................................
UNDER-COUNTER MAKE/MODEL#........................................
MICROWAVE MAKE/MODEL# ...............................................
SELECT WALL FINISH TYPE..................................................
WALL MATERIAL BRAND NAME/COLOR OR TEXTURE #
SELECT WALL FINISH............................................................
SELECT FLOOR TYPE................................................................
FLOOR BRAND/COLOR OR TEXTURE #...............................
SELECT FLOOR FINISH..........................................................

Subject

Your Message

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