DyeBold Carpet Dyeing Form

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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
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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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Rug Description
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Please describe all Restoration Services Needed (Be specific, listing each area to be restored, namely, each room and rug)listing rooms and rugs(Ex: Master Bedoom - spot dyeing, Living room - One Stain removal. Etc. *Services available: Spot dyeing, full room dyeing (commercial only), stain removal, carpet patch (for structural fiber damage)
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Briefly describe all Rug Restoration Services Needed (Stain removal, spot dyeing, rug over-dyeing, whole rug color restoration, rug repair (re-weaving, fringe replacement, re-sizing)
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Carpet Photos* This field is required.1) Overall photo of room/rug. 2) Take close up of each spot/area 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. If damaged areas are in more than one room, repeat the process.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Take Photos or Upload Photos. Photos are taken one at a time.
Cancelof
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Rug Photo - Front * This field is required.Take/Upload Overall photo of rug
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Take Photos or Upload Photos. Photos are taken one at a time.
Cancelof
8
Rug Photo of Damaged Areas* This field is required.*Include pen next to areas for sizing reference.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Take Photos or Upload Photos. Photos are taken one at a time.
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9
Rug Photo - Back Corner of The Rug* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Take Photos or Upload Photos. Photos are taken one at a time.
Cancelof
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Rug Photo of Tag*If available.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Take Photos or Upload Photos. Photos are taken one at a time.
Cancelof
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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
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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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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
Owner/Tenant
Property Manager on behalf of property owner
Hotel Manager/Head of Housekeeping
Interior designer
Contractor
2. What is your relation to the property (home owner/Hotel manager/Cleaning company/etc
3. Telephone/Cell
4. Email
5. Property Address
Myself
Cleaning Company/Contractor
Insurance Company
Interior Designer
Other
6.Who should the Quote be made out to (if other than yourself, include Name, phone and email)
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Notes/Additional QuestionsList any pertinent information/questions you may have.
Should be Empty: