PATTERNED CONCRETE

249 Supertest Road Toronto • Ont., M3J 2M4 • T. 416-.661-3007 F. 416-.661-0010 • info@patternedconcrete.ca

REQUEST A QUOTE FORM

Please take the time to answer the following questions in order for us to put forth the best proposal for your project.

1. Are you familiar with Patterened Concrete? YES NO

2. Did you know that Patterned Concrete Ontario Inc is part of a world wide Licensed Trade Mark organization? YES NO

3. How did you hear about us?

Referral Yellow Pages Homes Digest Other

4. Do you plan on moving in the next 5 years? YES NO

5. What are you considering to have installed? (check all that apply)

Patterned Concrete

Flagstone

Exposed Aggregate

Concrete Pavers

Asphalt

Sandblast Concrete

Polish Concrete

6. What are you looking to have done? (check all that apply) Driveway Walkway Front Entrance Back Patio Pool Deck

7. If you have chosen a driveway, have you considered incorporating a snow melt system with your installation?

Yes No

8. When would you like your project completed?

9. Do you have a Landscape design for your project? YES NO

10. Which of the following is more important to you?

Curb Appeal Structural Integrity Both

11. Do you understand the difference between the different methods of reinforcing concrete? Ie. Wire mesh vs rebar? YES NO

12. What type of finish do you prefer for your hardscape?

Matt Non Slip (Natural Look) Semi Gloss (Colour Enhanced) High Gloss

13. In order for us to properly design your project, please indicate the range that your budget falls into.

0 - $10,000.00 $10,000.00-$20,000.00 $20,000.00 or more

14. Would you be interested in a short term financing package? YES NO

15. Are you aware that a WSIB un-insured contractor can sue the homeowner, should one of their workers get injured on the job?

YES NO

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