Flooring Application  
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Describe Your Repair or Partially Replace Wood Flooring Needs Below...
1. What kind of wood floor needs to be repaired? (Check all that apply)
Red Oak White Oak
Birch Ash
Maple Pine
Fir Distressed
Specialty woods Parquet
Plank Don't Know
Other    
2. What best describes the damage you need repaired? (Select all that apply)
Cracked Loose
Gaps Buckled
Cupped Warped
Scratched Discolored
Burned Splits
Splintering Worn
Missing pieces Pet stained
Black/White spots Other
3. If known, what is the existing stain color?
Natural Light stain
Medium stain Dark stain
Don't Know Other
4. What kind of finish is on the floor?
Varnish Wax
Swedish finish Oil based polyurethane
Water based polyurethane Factory finished
Don't Know Other
5. Would you also like to have the floor refinished after repair?
Yes No
Don't Know    
6. What is the existing subsurface for your flooring?
Smooth plywood subsurface Rough plywood subsurface
Smooth concrete subsurface Rough concrete subsurface
Don't Know    
7. Enter the square footage of hardwood flooring you need repaired.
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 : *
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Yes, Please send me information on Company Specials.
Day Phone : *
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Cell Phone :
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Evening Phone :
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Contact Time : *

 
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 January 2009
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  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