How did you learn about STL FIXIT, Inc.?	Craigslist Ad Backpage Ad Other Internet Ad Internet Search Listed www.STLFIXIT.com Printed Ad Radio Ad Television Ad Personal Referral Previous Client of STL FIXIT, Inc. Other
If referred, who referred you?
Your First & Last Name:
Your Email Address:
Best Number to Call:
Best Time to Call:	7:00am - 9:00am 9:00am - 11:00am 11:00am - 1:00pm 1:00pm - 3:00pm 3:00pm - 5:00pm 5:00pm - 7:00pm 7:00pm - 9:00pm
Street Address of property where work is to be performed:
City:
State:
Zip Code:
What type of service(s) do you need?	Additions (room, garage, sunroom, etc.) Bathroom Remodel Kitchen Remodel Basement Finishing or Remodel Other Remodel Walk-In Bathtub Garage Door Framing Electrical Plumbing Drywalling Painting (Exterior) Painting (Interior) Staining Finish Carpentry (crown, basetrim, chair rail) Cabinets Countertop Windows Doors Flooring (tile, wood, pergo, laminate) Decks Porches Fences General Handyman Repairs Demolition Hauling
Describe your job(s):
What is your budget for this project?	$0 - $499 $500 - $999 $1000 - $4999 $5000 - $9,999 $10,000 - $14,999 $15,000 - $19,999 $20,000 - $24,999 $25,000 +
When would you like this project to be completed?	ASAP 1 - 2 weeks from now 2 - 4 weeks from now 4 - 6 weeks from now 6 - 8 weeks from now 2 - 4 months from now 4 - 6 months from now 6 - 12 months from now more than 1 year from now
Residential or Commercial?	Residential Commercial
What is the status of this project?	Ready to Hire Planning & Budgeting
Questions/Comments:

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