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Cleanbox by Carlock Homes
New Request
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First and Last Name
*
Your answer
Company Name
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Service Address
*
Your answer
Unit Number
Your answer
Gate Code or Guard Gate - If you don't have any guard gates or gate codes, simply leave the respective fields "None" in the form. No need to fill in anything for those sections.
Your answer
Directions
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How can we help you? Please describe your project, including any rough measurements and details.
*
Your answer
What types of interior material need to be removed? Select all that apply
*
Tile, underlayment, and thinset
Hardwood
Stone
Concrete
Cabinetry and Countertops
Backsplash and Drywall
Vanity, Sink, Mirror
Tub, Framework, and Surround
Showerwall, glass, and pan
Rock
Brick
Drywall
Non-Structural Framework
Other:
Required
What areas of the home or business need the material removed? Select all that apply.
Kitchen
Bathroom
Bedroom
Family Room/Living Room
Entryway/Hallway
Exterior of home or Garage
Garage
Pool House
Shop
Business
Deck
Other:
Please select which level(s) the working areas are located in the home or business.
Upstairs
Main Level
Basement
Other:
When do you prefer to schedule this project?
Two Weeks to a Month out
More than a month out
Other:
Clear selection
How did you hear about us?
Your answer
Name of the person or business who referred you?
Your answer
What client type are you? If you select "Other," Please specify your client type or category when you talk with your client relations specialist to help us best serve you.
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Choose
Residential Homeowner
General Contractor
Flooring Contractor
Interior Designer
Realtor
Property Management
Handyman
Other
If your submission is not going through, please make sure you fill out all the required fields. Thank you!
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