Sherer's Flooring - Shop@Home Form
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Full Name:
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Address:
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City:
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State:
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Zip Code:
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Phone:
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Email:
What Product Type(s) are you considering?
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check at least one
)
Carpet
Hardwood
Tile / Stone
Laminate
Sheet Vinyl
Luxury Vinyl Tile (LVT)
Backsplash
Other
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How Did You Hear about us?
Select one
News Paper
Search Engine
Local Ad
Radio
Friend
Other
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Select a time slot
8:00am - 10:00pm
9:00am to 11:00am
10:00am - 12:00pm
11:00am - 1:00pm
12:00pm - 2:00pm
1:00pm - 3:00pm
2:00pm - 4:00pm
3:00pm - 5:00pm
4:00pm - 6:00pm
5:00pm - 7:00pm
We do not offer Sunday Appointments
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Select a date for an appointment
What Areas are you considering?
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check at least one
)
Living Room
Dinning Room
Master Bed Room
Bed Room(s)
Kitchen
Hallway
Foyer
Family Room
Great Room
Den
Sun Room
Laundry Room
Basement
Bathroom(s)
Study
Other
