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Carpet Restoration Request Form

For best response please provide your needs below...

Serving Orange County, Los Angeles & Riverside County

Full Name: Required
Address:
City, State,Zip:
Phone: Required
Email: Required
     
Which rooms need carpet cleaning?
Living room Dinning room
  Bedroom(s) Qty. Family room
  Stairs Stair landing
  Bathroom(s) Qty. office
     
Total square feet
sq.ft.  
     
Please describe your home or apartment.
 
     
What type(s) of carpet need cleaning?
Plush (cut pile) Berber or loop pile
  Wool Synthetic
  All nautral fibers Light color
  Other  
     
Which problems or services will need special attention?
Oil or grease spots Soiling spots
  Water spots Food or liquid stains
  Pet stains Rust spots
  Soil filteration Odor elimination
  Stain Guard Protection Other
     
   





Copyright © 2002 Imperial Carpet Care. All rights reserved.
Last modified: Wednesday August 14, 2002.