Ph:
1-877-825-0660
Fax:
203-504-7951
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Tri State Stone Restoration – Lead Sheet: RESIDENTIAL COMMERCIAL
Customer’s Type:
Commercial
Residential
Customer’s name:
Referred by:
Street address:
Unit
City
State
Zip
Country
Telephone Numbers (H)
(W)
(M)
e-mail address: (H)
(W)
where did you hear about us?
Job Information
Tell us about the job:
Floor
Fireplace
Other
Countertops
Shower Stall
Years old :
Type(s) of stone:
Name (or description) of the stone(s):
Rating of the original installation:
Excellent
Very Good
Good
Fair
Fair
Sq. Ft.:
Condition of the grout:
Excellent
Very Good
Good
Fair
Fair
Any loose tile?
Are there
cracks or chips?
Measurements and other information:
P.O. Box 601, Danbury, CT 06813-0601 Ph: 1-877-825-0660 Fax: 203-504-7951
sales@tristatestonerestoration.com
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