Interior
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Number of Holes and Cracks in walls and ceiling:      Excellent Good Average Poor Very Poor
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What is the hight of the ceiling: ______________________________________________________________________________________

Do you want your ceiling painted?:      Yes No
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Do you have ceiling molding?:      Yes No
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Is there a chair rail that needs to be painted?:      Yes No
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Are we painting a base board?      Yes No
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Are we painting any Wainscoating?:      Yes No
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How many Closets are we painting?
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Interior Windows:
Please select how many windows to be painted:

Single Pane	Multiple Pane	Bay Window

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Interior Doors:
Please select how many doors to be painted:

Flat	Bi-Fold	Louvered or Paneled	Paneled w/ Window	French Door

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Exterior
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How many stories is your house?:
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Exterior Windows:
Please select how many windows to be painted:

Single Pane	Multiple Pane	Bay Window

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How many of the windows have shutters?:
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Exterior Doors:
Please select how many doors to be painted:

Flat	Louvered or Paneled	Paneled w/ Window	French Door	Garage Door

Are we painting a porch?:      Yes No ______________________________________________________________________________________

How many posts are we painting?:
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Contact Information
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Name:
Address
City
State
Zip
Phone
Email