Contact Us
Applied Construction Services Inc.
73 Deer Park Avenue
Suite 2
Babylon, NY 11702
Phone: (631) 661-6820
Fax: (631) 661-6825
Email:
mcapplied@optonline.net
Customer Information Sheet
Areas Served: Suffolk, Nassau
Customer Information Sheet:
Name:
Address:
City:
State:
Zip:
Cross Street:
Daytime Phone:
Evening Phone:
Cell Phone:
E-Mail:
Who referred you to Applied Construction?
Client Referral
Former Client
Church Bulletin
Job/Vehicle Sign
Direct Mail
Sub/Supplier
Fitness Incentive
What work would you like performed?
Whole House Remodel
Interior/Exterior Rehab
1st Floor Addition
Deck
2nd Floor Addition
Porch/Entry/Stairs
Kitchen Remodel
Windows/Doors
Bath Remodel
Roof
Basement
Sheetrock
New Home
Other
What is the age of your home?
How long have you lived there?
How long have you been planning this project?
Why are you thinking of doing this project?
What is your ideal start date?
Have you established an investment amount for this project?
Have you remodeled before?
Yes
No
If yes, what was it like?
Have you spoken with any other professionals? (contractors/architects)
What are you looking for in a contractor?
Additional comments:
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All Rights Reserved.
