Room Name     

 Room Size            (Eaxmple 10' x 12')

 Paint Walls        YESNO

 Room Wall Height   8 Feet10 Feet12 Feet15 Feet20 Feet

 Prep - # of holes     Standard - Nails from picturesExtra - Lots of nail holes, cracksMajor - Large holes, large cracks

 Wallpaper to be removed?    NoYes      Paint Baseboard?            YesNo

 Paint Ceiling?                            NoYes      Paint Crown Molding?    YesNo

 Number of Closets to Paint   01234

 Paint Chair Rail?                  No Yes <\SELECT>

 Windows and Doors:

 Number of Windows to paint?   012345+ Number of Window Panes? 0 3 6 9 12 More than 12 <\SELECT>

 Number of Doors to paint?         012345+ Number of Louvered doors? 0 1 2 3 4 5 6 <\SELECT>

 Additional Comments?

 Contact Information:

 Name:          Email Address:  

 Phone:         Address:                       (Street address including city and zip code )

 Where did you hear about us?    Web SearchFriendAdOther