Jason Land

Carpet Installer

Direct: 801-834-5908

[email protected]

https://jtlcarpetrepairs.com/

Client Intake Form

First Name

Last Name

Phone *

Email *

Property Address

Service Address

Billing Address

Customer Type

Entry / Access Instructions

Pets on Site?

Carpet Style / Type

Fiber Material

Carpet Color / Pattern Name

Padding Type & Thickness

Subfloor Construction

Date of Service

Rooms / Areas Worked On

Living Room

Master Bedroom

Guest Bedroom(s)

Hallway

Staircase

Dining Room

Basement

Repair Type Performed

Power Stretching (Restretch)

Seam Repair / Re-peaking

Bonded Insert / Patch

Pet Damage Repair

Pad Replacement

Transition Strip Install/Repair

Pre-Existing Damage / Wear Notes

Work Summary & Tech Notes

Future Work / Upsell Notes

Before Photos

After Photos

Invoice / Job Number

Total Repair Cost

$

Payment Method

Warranty Offered

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