New Customer Inquiry Form

New Customer Inquiry Form
Customer Details:
Full Name*

First NameLast Name
Address*

First line of Address

what area are you in ?

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail
ex-paki@gmail.com
How did you hear about us?
Please Specify*
Add a description of the measurements if known (not required we still do this on the free Quotation
What work would you like us to do?

Main bathroomEn SuiteCloakroomDownstairs WCMultiple bathrooms in the homePlumbing JobElectric JobLabour Only Job
What is your budget per Bathroom

£9200 Premium Package - (2m x 2m Average Room Size) - ( No recesses or lighting)£13000 - £15000£15000 -£20000£20000 -£30000£30000 - £40000Other
What Package would you like ?

Fully Supplied And InstalledLabour OnlyOther
If you have a specific date you would like the job to start around please select below *

MonthDayYear
Date
Please upload All relevant pictures of the bathroom this gives us a better idea of what we are working with prior to doing the quote you can upload as many as you like

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