INFORMATION REQUEST FORM

CONTACT INFORMATION

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PROJECT INFORMATION     

1. Which concrete surfaces do you want to have installed? (Check all that apply)   Interior subflooring   Interior finished floor   Garage floor   Driveway/parking area   Exterior walkway   Basement floor   Patio   Pad for a light structure   Steps   Pool deck   Other   2. What type of project is this? New construction of home   New concrete for existing home   Replacement of existing concrete   Overlayment (new layer applied over existing concrete)   Other   3. What kind of special finishes do you want? (Check all that apply) Brushed (slip resistant)   Salt finished   Smooth trowel finish   Design stenciled or etched into concrete   Granite simulation   Slate simulation   Cobblestone simulation   Brick simulation   Colored exposed aggregate (stones)   Shiny wet look sealer   Slip resistant texture   Colored concrete   Colored stain applied after installation   Plain concrete with decorative borders   Match a sample   Complement house/yard   Don't know   Other   4. Select any special applications. (Check all that apply) Cover irrigation pipes, drains, etc.   Cover electrical   Cover radiant heat pipes   Lightweight concrete   Don't know   Other   5. Select any of the following that you need for your project (if known). Minor site prep (leveling, grading, etc.)   Major site prep (excavation or grading)   Rebar or wire mesh installed   Fiber additives   Any concrete or paving surface to be removed   Don't know   Other

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