Verrazano Flooring


	Flooring Application

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Status of Project:*

To Be Completed in:*

Nature of Project:

Preferred Type of Wood:

Existing Subsurface of Floor:

Rooms for New Flooring - Size: (insert size to all that apply)
	X		-sq.ft.	Living Room size		X		-sq.ft.	Bedroom 1 size
	X		-sq.ft.	Kitchen size		X		-sq.ft.	Bedroom 2 size
	X		-sq.ft.	Entry size		X		-sq.ft.	Bedroom 3 size
	X		-sq.ft.	Dining room size		X		-sq.ft.	Bedroom 4 size
	X		-sq.ft.	Hallway 1 size		X		-sq.ft.	Hallway 2 size
	X		-sq.ft.	Family room size		X		-sq.ft.	Other size

Have you already purchased the hardwood for this project?

Yes

No

Do you own the home for this request?

Yes

No

Is this location a commercial location?

Yes

No

Please provide a short description of your project:

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First Name : *

Last Name : *

Address of Project Location*

City : *

Zip/Postal Code : *

E-Mail : *

Create Password: *

Yes, Please send me information on Company Specials.

Day Phone : *

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)

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Cell Phone :

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)

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Evening Phone :

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Contact Time : *

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Š Verrazano Flooring Co. 2003 All Rights Reserved
info@verrazanoflooring.com

Verrazano Flooring Co.
ShowRoom
217 25th St. Brooklyn NY 11232
Phone: 718-369-9663
Fax : 718-369-9664

HIC License #1183291
New Jersey Phone: 732-308-3930
Manhattan Phone: 212-367-8888