Job Assessment Form Request for QuotePlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone Number *Brief description of project and what you're interested in. *Type of Space *GarageBasementKitchenBathroomPool DeckPatioCustom Counter TopCustom Epoxy TableCustom Live Edge TableOtherApproximate Square Footage of Area *10-100101-200201-400401-8001000+Product Interested In *Chip SystemQuartz SystemMetallic SystemMicroToppingMoisture MitigationCustom Epoxy TableCustom Epoxy Counter TopCustom Concrete Counter Top3D Art EpoxyDesired Finish *MatteSemi GlossHigh GlossOrange PeelTexturedColor PreferencesShades of GraysShades of BrownsShades of BluesShades of GreensShades of RedShades of Chrome, Gold, Silver, CopperBlack and WhiteNeon ColorsEarth TonesMultiple ColorsOtherUndecidedDesired Completion Date *A.S.A.P.1-3 Weeks1-2 Months3-6 MonthsNot SureApproximate Budget *$1500 - $2000$2000 - $3000$3000 - $4000$4000 - $5000UnsureWe ask this, so we may build the best and most efficient system to match your budget while maintaining a beautiful and durable floor.Performance Requirements *Slip ResistanceU.V. ResistanceNoneUnsureExisting Flooring *Carpet (Gluedown)Carpet (Tack&Pad)Vinyl TileWood FlooringStone or CeramicVinyl Sheet FlooringLaminateNone Floor is CleanNone Floor has residual adhesivesEpoxy FloorPainted FloorOtherUnsureSubstrate (Primary Floor) *ConcreteWoodUnsureConcrete Conditions - Check All That Apply *Oil StainedMinor Cracks and DefectsMinor Surface DefectsMajor Cracks and Missing PiecesMajor Surface DefectsUnlevelLifted Partial Slab (Heaved)Existing CoatingClean Concrete - In Good ConditionUnsureNot ApplicableElectrical Access for Installation Crew *Yes, Will have access to panelNo, Will need generatorUnsureDo you have photos of your space *YesNoCan you provide photos of design you have in mind *YesNoAny Additional Needs, Concerns or QuestionsPreferred Way to Contact You *EmailPhoneEmail *Submit