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Residential Carpet/Rug Dyeing & Repair Inquiry
Estimate cannot be given without pictures. If this form fails, please email us at DyeMyCarpet@gmail.com (include your name/role/Address and Photos of Services needed)
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1
I Need Restoration Services in
*
This field is required.
We offer on-Site Dyeing services for installed Carpets & Rugs. *Otherwise Rugs are restored at our Florida studio, where we receive rugs from all over the US.
Wall to Wall Carpet
Rug
I need both Carpet & Rugs restored
Other
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2
Property Type
*
This field is required.
We offer on Site Dyeing services for installed Carpets & Rugs. *Otherwise Rugs are restored at our Florida studio, where we receive rugs from all over the US.
My Home (I'm the homeowner)
My Rental Home/Apartment/Condo (I'm the tenant)
Hotel/Resort
Commercial Office
Non-Profit
Other
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3
Rug Description
*Must be completed for estimate.
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4
Brief Description of Issue
*
This field is required.
Ex: Cleaning company spilled bleach in master bedroom.
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5
Select all services needed
*
This field is required.
Carpet Inspection
Side Match Correction
Spot Dyeing (for faded/bleached carpet stain)
Full Room Dyeing (Commercial Only)
Carpet Repair (*I have carpet remnant)
Carpet Repair (*Use donor carpet from closet)
Carpet Stretch
Stain Removal
Spot Odor Treatment (for pet accidents etc)
Other
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6
Carpet Photos. *Required for Estimates
Take photo of all spots/areas to be corrected (*Include pen next to spots for sizing reference). *If damage is located in more than one room, repeat the process. NOTE: If not able to attach pictures here, submit them via email to dyemycarpet@gmail.com along with your info, identifying each photo.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Take Photos or Upload Photos. Photos are taken one at a time.
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7
Photo description: Identify each photo location and issue (If any chemical used, identify if known so we can best neutralize it)
Ex: 1) Master Bedroom: full strength bleach spill 2) Hallway: rust stain, no chemical used etc.
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8
Rug Photo (Photos must be submitted for estimates) - Front Side
Take/Upload Overall photo of rug
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Take Photos or Upload Photos. Photos are taken one at a time.
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9
Rug Photo of Damaged Areas
*Include pen next to areas for sizing reference.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Take Photos or Upload Photos. Photos are taken one at a time.
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10
Rug Photo - Back Corner of The Rug
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Take Photos or Upload Photos. Photos are taken one at a time.
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11
Rug Photo of Tag
*If available.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Take Photos or Upload Photos. Photos are taken one at a time.
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12
How soon would you like this project done?
*
This field is required.
*If it needs to be done by a specific date, list date under "Other"
Urgent/ASAP
Immediate/Within 2 weeks
Within 1 to 3 months
No Rush/Whenever Available
Other
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13
How Did You Find Us? If Referral/Other, Specify under "other"
*
This field is required.
This helps us to better reach our clients.
Google
FaceBook
Instagram/Instagram
Yelp
Youtube
Carpet/Rug Cleaner Referral
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14
Contact Info
*
This field is required.
Note: If damage restoration costs are to be covered by a party other than yourself (cleaning company/contractor/Insurance Claim) List the Billing Party info in Field 8.
1. Name
Please Select
Tenant
Home Owner
Property Manager on behalf of property owner
Hotel Manager/Head of Housekeeping
Interior designer
Contractor
Other
Please Select
Please Select
Tenant
Home Owner
Property Manager on behalf of property owner
Hotel Manager/Head of Housekeeping
Interior designer
Contractor
Other
2. What is your relation to the property (home owner/Hotel manager/Cleaning company/etc
3. Telephone/Cell
4. Email
Please Select
Text
Phone call
Email
Please Select
Please Select
Text
Phone call
Email
I prefer to be contacted by
Please Select
Myself
Other
Please Select
Please Select
Myself
Other
6.Who should the Quote be made out to (if other than yourself, include Name, phone and email)
Make Quote out to:
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15
Property Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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16
Notes/Additional Questions
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