Alternative Flooring Solutions

Request for Inspection

Request for Inspection

Consumer's Information

Your name:
Address:
City:
State:
Zip Code:
Home phone number:
Work phone number:
Fax number:
E-Mail address:

Complaint Information

Dealer you bought the material from:
Manufacture:
Type of material you purchased:
Is the material Commercial or Residential?
Product Name / Style Name:
Product Color:
Roll# (If known):
Amount of material you purchased:
What type of pad (if applies):
Type of Installation:
Name of Contractor / Installer:
Mill invoice or Retailer's Invoice # & Date (If known):
Date of Installation:

Nature of complaint: (Problem with Floor Covering / Installation)

How do you wish to be billed?
Visa Mastercard Cashier's Check Mail COD Collect

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Contact us at:

Thaddeus & Kelly Singer
230 Whittington Ave
Hot Springs, AR 71901

Phone: (501) 701-0483

Your name:

Address:

City:

State:

Zip Code:

Home phone number:

Work phone number:

Fax number:

E-Mail address:

Dealer you bought the material from:

Manufacture:

Type of material you purchased:

Select One Carpet Products Vinyl Products Wood Products

Is the material Commercial or Residential?

Residential commercial

Product Name / Style Name:

Product Color:

Roll# (If known):

Amount of material you purchased:

What type of pad (if applies):

Type of Installation:

Name of Contractor / Installer:

Mill invoice or Retailer's Invoice # & Date (If known):

Date of Installation: