Lasting Image Bid/Proposal Request Form

Please fill out the following form
an we will contact you to set up an appointment.

Company Name:

Address:

Contact Name:

Phone Number:

Fax Number:

E-mail Address:




Total area square footage to be serviced: 

Flooring,
please provide footage for:
Restroom facilities,
please provide total number:
Vinyl tile:  Commodes:
Linoleum tile:  Sinks:
Ceramic tile:  Urinals:
Concrete: 
Carpet: 

 

Cleaning
Frequency Per Week:

1x 2x's 3x's 4x's 5x's 6x's 7x's

 

Buffing
Frequency Per Month:

0x's 1x 2x's 3x's 4x's Other



Please select the services you want your customized proposal to include?

Cleaning Services  Facilities Services

Floor Strip and Refinish

Janitorial Services

Low Moisture Carpet Cleaning

Steam Carpet Cleaning

Baseboard Cleaning & Replacement

Door Repair

General Office Remodeling

Interior Painting

Tile Replacement




If you have any special requests or additional information
that this form did not cover please include it in the field below.

For more information, or to speak with a company representative,
please feel free to call us at 972-491-9920.
References Available Upon Request

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