Information Request
Note:* indicates required fields

*Your First Name:
*Your Last Name:
*Church Name:
*Address:
*City:
*State:    *Zip Code:     
*Your Daytime Phone:
Your Evening Phone:
*Your E-mail address:

*Is the above address yours or the churches?
Home
Church

*Are you the main contact on this project?
Yes
No

If no, who is?

*How did you hear about or find our company?

*Are you planning a renovation project that will involve restoring your church furniture?
Yes
No

If yes, what is your time schedule?

*How old is your Church?

*How old is your Church's Furniture?

*Describe the Condition of your Furniture:

*What is the Seating Capacity of your Church?
Minimum of 200.

*Would you like an Estimate to have your Church Furniture Restored?
Yes
No

*Would you like a copy of our Restoration Guide?
Yes
No

Question/Comments


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310 West Main Street
Mount Joy, PA 17552
1.800.351.6272 --- E-Mail