Name*

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Do you need us to pick up and deliver your rug?

minimum size 8'x10'

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Rug Size*

Rug Width*	Rug Length*

If yes, please complete this section:

How would you describe your rug? Choose all that apply:*

Rug is made of natural fibers (cotton, wool, sisal)
Rug is made of synthetic fibers (polypropylene, polyester, nylon)
Rug is made of silk or viscose
Rug is a shag rug
Rug is an oriental rug
Rug is an antique rug

What is the issue you're having with your rug?*

Rug needs repairs
Rug has odor issues (pet urine, mildew, etc.)
Rug has stains
Other

Describe your rug issue.

Add another rug?

2nd Rug width*

2nd Rug length*

How would you describe your rug? Choose all that apply:*

Rug is made of natural fibers (cotton, wool, sisal)
Rug is made of synthetic fibers (polypropylene, polyester, nylon)
Rug is made of silk or viscose
Rug is a shag rug
Rug is an oriental rug
Rug is an antique rug

What is the issue you're having with your rug?*

Rug needs repairs
Rug has odor issues (pet urine, mildew, etc.)
Rug has stains
Other

Describe your rug issue.

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