Full Name
*
Email
*
Mobile Phone
*
Town or City of Service
*
New to Koshgarian Rug Cleaners?
New Customer
Existing Customer
Requested Services
*
Loose Rug Cleaning & Repair
Fringe Cleaning & Repair
Pet Urine & Odor Removal
Stain Protection
Carpet Cleaning
Hard Surface Floor Cleaning
Upholstery Cleaning
Water Damage Restoration
Requested Service Date
Preferred Appt. Time
AM
PM
No Preference
Special Time - Extra Charges May Apply
Comments
Upload Images for Rug Identification (include front and back of rugs)
*Include up to 5 images totaling a max of 40MB
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