Full Name
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Email
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Home Phone
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Mobile Phone
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Customer Status
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New Customer
Existing Customer
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How did you hear about American Rug Laundry (ARL)?
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Newspaper
Radio
Search Engine (Google, Yahoo etc.)
Social Media
Referral
Postcard
Email Message
Text Message
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Indicate which services you are interested in (check all that apply)
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Area rug cleaning
Pet urine & odor removal
Moth damage repair or restoration
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
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Please provide as much information as possible regarding your cleaning needs. List the size of rugs, make of rugs (handmade or machine-made) and condition of rugs.
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Upload Images for Rug Identification (include front and back of rugs)
*Include up to 5 images totaling a max of 40MB - .jpeg, .jpg, .png, .gif
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