Full Name Phone Number Email Address Preferred Contact Method Call Text Email Property Address City State ZIP Property Type Residential Commercial Apartment/Condo Office Retail Other Is the property occupied? Yes No What service are you requesting? Commercial Cleaning Residential Cleaning Interior Painting Exterior Painting Demolition Property Maintenance Other Please describe the work you need: Approximate size of property (sq. ft.) Number of rooms/areas Preferred start date Is there a deadline for completion? Yes No How often is service needed? One-Time Weekly Biweekly Monthly Ongoing Not Sure Areas requiring service: Kitchen Bathrooms Bedrooms Offices Common Areas Floors Windows Other Painting Type Interior Exterior Approximate number of rooms Please describe what needs to be removed, repaired, or maintained: Please provide photos of the areas requiring work, if available. Additional notes or special instructions Would you like an on-site estimate? Yes No Best days/times for an appointment: How did you hear about Vantrex Service Group? Google/Search Facebook/Social Media Referral Business Card/Flyer Repeat Customer Other I understand that the information provided will be used by Vantrex Service Group to evaluate my project and prepare a quote. Additional information or an on-site inspection may be required before a final quote is provided. Customer Name Signature * Clear Signature Date Send
