Full Name
*
Email
*
Home Phone
*
Mobile Phone
*
Customer Status
*
New Customer
Existing Customer
How did you hear about American Rug Laundry (ARL)?
*
Newspaper
Radio
Search Engine (Google, Yahoo etc.)
Social Media
Referral
Postcard
Email Message
Text Message
Has your rug ever been cleaned professionally?
*
Yes
No
I don’t know
Indicate which services you are interested in (check all that apply)
*
Area rug cleaning
Pet urine & odor removal
Rug repair or restoration
De-mothing or moth-proofing
In home carpet, hard surface or upholstery cleaning
Rug pad, carpet protection or storage wrap
Will need Pick-up & Delivery Service
Will be dropping rugs off
Please provide as much information as possible regarding your cleaning needs. List the size of rugs, make of rugs (handmade or machine-made) and any pre-existing issues of rugs.
*
Upload Images for Rug Identification (include front and back of rugs)
* Please upload images totaling a max. of 40MB
SUBMIT