DyeBold Carpet Dyeing Form

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
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
3
Rug Description*Must be completed for estimate.
4
Brief Description of Issue* This field is required.
Ex: Cleaning company spilled bleach in master bedroom.
5
Select all services needed* This field is required.
Spot Dyeing
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)
6
Carpet Photos. *Required for EstimatesTake 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
Take Photos or Upload Photos. Photos are taken one at a time.
Cancelof
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.
8
Rug Photo (Photos must be submitted for estimates) - Front SideTake/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.
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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
Take Photos or Upload Photos. Photos are taken one at a time.
Cancelof
10
Rug Photo - Back Corner of The 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
11
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
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
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
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
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
Text
Phone call
Email
I prefer to be contacted by
Myself
Other
6.Who should the Quote be made out to (if other than yourself, include Name, phone and email)
Make Quote out to:
15
Notes/Additional Questions
Should be Empty: