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Carpet - Initial Listing Service
Carpet

First Name:
Last Name:
 
Please contact me with the results via:
 
Contact Email/Fax:
 
The amount you would like to pay Regional REO Services for this service when the task is 100% complete:  
 
Property Address:  
Property City:  
Property State:
Property Zipcode:  
 
 
Deadline for Service:   (MM-DD-YYYY)
 
I would like the following completed / additional information:
Special Instructions & Circumstances:
 
Carpet Cleaning – Sq. ft:
Carpet Repair – Sq. ft:
Carpet Replace – Sq. ft:
Other: