<% dim lError dim lErrArr dim lClientName dim lAddress dim lCity dim lHomePhone dim lEmail lError = request("Error") 'If errors were found trying to update if (lError <> "") then lErrArr = split(Session("Error"),"|$|") end if %> Bathroom Quote Request Form - Serving New York, New Jersey, Westchester and Connecticut

Addition
B ATHROOM  R EMODELING  Q UOTE  R EQUEST  F ORM

 

Please Provide the Following Information:
* Indicates required field

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<% 'Display Required Field Error Messages if instr(lError, "00") > 0 then %> Name is required
<% End If if instr(lError, "01") > 0 then %> Address is required
<% End If if instr(lError, "02") > 0 then %> City is required
<% End If if instr(lError, "03") > 0 then %> Home Phone is required
<% End If if instr(lError, "04") > 0 then %> A valid Email Address is required
<% End If %>
<% End If %>
Name*
Project Address*
City*
State 
Zip 
Home Phone*
Work Phone 
E-mail*

How much design work & preparation has been done so far?

Sketches
Blue Prints (complete set of drawings)
I Have Both Blue Prints & Permits
I Would Consider Retaining SOS For Design & Blue Prints
None

 

Which bathroom is this?

          This Will Be An Additional Bathroom
          Master Bathroom
          Main Bathroom
          Kids Bathroom
          Guest Bathroom
          Powder Bathroom
          Other

 

Where is this bathroom located?

Top Floor
2nd Floor
Main Floor
Basement
Other

 

How many other bathroom are there in the home?

No Other
One More
Two More
Three More
More Than Three

 

What do you dislike about your current bathroom?

Nothing; This Will Be An Additional Bathroom
Too Small
Insufficient Cabinetry & Countertop
Outdated Fixtures
Poor Lighting
Inadequate Ventilation
Insufficient Heating
Dislike Tile Work
Other

 

What is your "Wish List"?

Expand By "Building Out" (Addition)
Expand Bathroom By "Borrowing" Space From Adjacent Room And/Or Closet
Relocate the Bathroom
Vault The Ceiling
Replace Window
Additional Window(s)
Skylight(s)
Separate Tub & Shower
Custom Large Shower
Custom Steam Shower
Built in Shower Seat
Oversized, Overhead Showerhead
Body Sprays (set of 3)
Hand Held Showerhead
Whirlpool Tub
Air Tub
"Hidden" Toilet
Double Undermounted Bowls
8" Spread Faucet(s)
Granite or Marble Countertop
Makeup Area
Linen Tower
Laundry Area
Better, Efficient Lighting
Remote "Silent" Exhaust Fan
Radiant Floor Heating
Custom Tumbled Marble or Limestone Tile Work
LCD TV"
"Morning Bar"
Other

 

Would you happen to know the approximate dimensions of your project [in square feet]?

Less than 50
50 to 70
70 to 100
100 to 150
More than 150

What year was the home built [approx.]?

Before 1930
1930 to 1959
1960 to 1979
1980 to 1989
1990 to 1999
2000 to Now

 

Providing we reach an agreement, how soon are you hoping to start?

In 3 months
In 6 months
In a year

 

 

At this time, do you have an idea on how much you would need to invest? (Your budget should match your "Wish List".)

$80,000 to $120,000
$120,000 to $200,000
$200,000 to $300,000
$300,000 to $500,000
Over $500,000

 

Comments:


         



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