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    Job Information

    Dealer Name
    Salesperson
    Dealer Email (We'll send your quote here)
    Purchase Order #
    Job/Customer Name
    Quote or Order?
    Special notes

    Customer Information

    Customer Name
    Address
    Email
    City
    Phone
    State
    Alternate Phone
    ZIP Code

    Tear-Out

    Choose a tear-out option

    Room 1 Countertop Specifications

    Location (Kitchen, Master Bath, etc)
    Material
    Color/Design
    Color Description
    Get a quote on additional materials? YesNo
    Additional Material 1
    Color/Design
    Additional Material 2
    Color/Design
    Additional Material 3
    Color/Design
    Edge Profile
    Thickness
    Backsplash
    Sink Information
    Cove (Solid surface only)
    Range Information
    Sink Make / Model# / Color
    Add another room? YesNo

    Room 2 Countertop Specifications

    Location (Kitchen, Master Bath, etc)
    Material
    Color/Design
    Color Description
    Get a quote on additional materials? YesNo
    Additional Material 1
    Color/Design
    Additional Material 2
    Color/Design
    Additional Material 3
    Color/Design
    Edge Profile
    Thickness
    Backsplash
    Sink Information
    Cove (Solid surface only)
    Range Information
    Sink Make / Model# / Color
    Add another room? YesNo

    Room 3 Countertop Specifications

    Location (Kitchen, Master Bath, etc)
    Material
    Color/Design
    Color Description
    Get a quote on additional materials? YesNo
    Additional Material 1
    Color/Design
    Additional Material 2
    Color/Design
    Additional Material 3
    Color/Design
    Edge Profile
    Thickness
    Backsplash
    Sink Information
    Cove (Solid surface only)
    Range Information
    Sink Make / Model# / Color
    Add another room? YesNo

    Upload Project Drawings or Layout

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