QUICKBIT Work Request or Estimate
For detailed information please contact us at (301) 261-3500 or contact@quickbitllc.com
Email address *
Your Name *
Your answer
Company Name *
Your answer
Job Address
Address of the location where the work is being performed.
Your answer
Work Description
Short description of the work you need other than that described in the questions below.
Your answer
Type of Work
Please select one or more type of work. You may select more than one. Enter your own type in other.
Diameter and Quantity of Core Holes
Please provide diameter of "All" holes needed. I.E., (2) 3", (10) 4", (3) 6"
Your answer
Thickness of Concrete (surface)
If multiple please provide all thicknesses for all locations.
Your answer
Surface Location
If other then select option and add description of location in notes at bottom.
Surface Material
If material not listed please describe in notes below.
Work Height
How high is the work if on wall or ceiling?
Work Space
Let us know if we will be working inside, outside or outside but covered from elements.
Work Start Time
Job start time. Morning, afternoon or evening. If other please add to notes.
Priority
High
Low
Job Start Date
Please provide the date you would like to start the work. This can be an estimated date.
MM
/
DD
/
YYYY
Additional Information (notes)
Your answer
A copy of your responses will be emailed to the address you provided.
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