concrete repair product, concrete repair supply, concrete restoration, concrete resurfacing
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Home > Contact Us > Request For Quote
 

Request A Quote

Check here for a Contract Price Quote.

Please complete this form so we can address your needs as quickly
and accurately as possible.

Usage Information
To help us serve you better, please answer the following:

  1. Type of facility you are associated with:


  2. How many square feet are you planning to coat/resurface?
    sq. feet

  3. What percent of floor defects require repair before coating?
    %

  4. What is the average thickness of floor defects?


  5. Type of Surface (check all that apply):
    Concrete
    Steel
    Hard tile
    Wood
    Suspended slab (elevated)

  6. Type of Traffic:
    Heavy traffic – frequently used by forklift, vehicular
    General traffic – mixture of foot & vehicular traffic
    Light traffic – foot traffic only

  7. Do you require a non-slip surface?
    Yes   No

  8. Is surface inside or outside?
    Inside   Outside   Both  

  9. Surface Exposure (Check all that apply):
    Chemical Attack
    Oil/grease contact
    Room temperature
    High temerature (>150 degrees F)
    Low temperature (< 45 degrees F)
    Sunlight
    Heavy weight impact
    Aggressive abrasion

  10. Condition of Surface (check all that apply):
    Peeling coating
    Expansion joint damage
    Potholes
    Oil-soaked areas
    Cracks
    Uneven wear areas
    Slippery surfaces
    Rust stains on floor
    Soft concrete areas

  11. Objective
    What are you trying to accomplish? Please describe briefly here:

Thank you for giving us the opportunity to serve you. One of our Floor Counselors will respond to your request within 24 hours of request, M-F, 8:00 am – 5:00 pm EST.


Contact Information*Required fields

First Name* Last Name*
Title
Company Name*
Street Address*
City* State* ZIP*
Country*
Phone Number* Extension
() -
Fax Number
() -
Email Address*
What is the best time of day to contact you by telephone? (Specify time in Eastern Time)

   
Mon-Fri 8am-5pm EST - 800-631-5380
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