ÿþ<html> <head> <link rel="stylesheet" type="text/css" href="gss.css" /> </head> <body> <form method="post" action="mailto:quote@4evergreenfabricators.com" enctype="multipart/form-data"> <table align="center"> <tr> <td border="0" width="200" height="75" nowrap="nowrap"><img src="pics/squak/smslogo.jpg" width="380" height="75" align="right" /> </td> <td border="1" width="300" height="75"><br/><span class="emph3">Countertop Quote Request</span> </td> </tr> </table> <table border="1" cellspacing="5" cellpadding="5" nowrap="nowrap"> <tr> <td border="1" width="400" height="100" nowrap="nowrap"> <p align="justify"><span class="emph2">Please submit a drawing with dimensions of your countertop. If you are unable to upload it to this form or attatch it to an email, you may mail or fax it to us with a printout of this completed form to (253) 891-1584. Please contact us for any further questions regarding this Quote form.</span></p> </td> <td border="1" width="250" height="100" nowrap="nowrap"> <p align="center"><span class="emph2">Countertop sales team:<br/> info@4evergreenfabricators.com<br/> Questions? Call: (253) 691-6348<br/> Fax: (253) 891-1584</p> </td> <td border="1" width="150" height="100" nowrap="nowrap"> <p align="center">Contractor&nbsp;<input type="radio" value="contractor" name="radioset" /><br/><br/> Retail &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="radio" value="Retail" name="radioset" /></span></p> </td> </tr> </table> <table border="1" cellspacing="5" cellpadding="5" nowrap="nowrap"> <tr><td width="835" nowrap="nowrap"> <p>*Contact Name &nbsp;&nbsp;&nbsp; <input type="text" name="name" size="40" /> &nbsp; *Email &nbsp;&nbsp;<input type="text" name="name" size="40" /><br/> Location Address &nbsp;<input type="text" name="name" size="40" /> &nbsp;&nbsp;*City &nbsp;&nbsp;<input type="text" name="name" size="12" /> &nbsp;&nbsp;*State &nbsp;&nbsp;<input type="text" name="name" size="2" /> &nbsp;&nbsp;Zip &nbsp;&nbsp;<input type="text" name="name" size="10" /><br/> Billing Address &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="text" name="name" size="40" /> &nbsp;&nbsp;City &nbsp;&nbsp;<input type="text" name="name" size="12" /> &nbsp;&nbsp;State &nbsp;&nbsp;<input type="text" name="name" size="2" /> &nbsp;&nbsp;Zip &nbsp;&nbsp;<input type="text" name="name" size="10" /><br/> (if different) &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Phone Number &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type="text" name="name" size="15" /> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Alternate Number &nbsp;&nbsp;<input type="text" name="name" size="15" /><br/><br/> *Required Fields. All information disclosed through this form is used for quote purposes only. </p> </td></tr> </table> <hr> <p align="center"><span class="emph3">Project Information</span><br/><br/> <table border="1" cellspacing="5" cellpadding="5" nowrap="nowrap"> <tr> <td border="1" width="370" height="225" nowrap="nowrap"> <b>Have you already purchased materials? <select name="y-n"> <option value="N">No</option> <option value="Y">Yes</option> </select><br/><br/> <b>Kitchen</b> &nbsp;&nbsp; <input type="checkbox" value="countertop" name="boxset" />Countertop &nbsp; <input type="checkbox" value="island" name="boxset" />Island &nbsp; <input type="checkbox" value="bar" name="boxset" />Bar &nbsp; <input type="checkbox" value="sink" name="boxset" />Sink &nbsp;<br/><br/> <b>Bathroom</b> <input type="checkbox" value="vanity" name="boxset" />Vanity &nbsp;&nbsp; <input type="checkbox" value="sink" name="boxset" />Sink &nbsp;&nbsp;&nbsp;<br/><br/> <b>Office</b> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="checkbox" value="Desk" name="boxset" />Desk &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="checkbox" value="bar" name="boxset" />Bar &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="checkbox" value="table" name="boxset" />Table &nbsp;&nbsp;&nbsp;<br/><br/> <b>Other</b> &nbsp;<input type="text" name="name" size="40" /><br/><br/> <b>Cutout for Sink</b><br/> <input type="radio" value="Finished" name="radioset" />Finished <small><i>(undermount)</i></small>&nbsp;&nbsp; <input type="radio" value="Unfinished" name="radioset" />Unfinished <small><i>(self-rimming)</i></small><br/><br/> <b>Range Type</b><br/> <input type="radio" value="free" name="radioset" />Free-standing Range <small><i>(no splash)</i></small>&nbsp;&nbsp; <input type="radio" value="slide" name="radioset" />Slide-in Range &nbsp;&nbsp; <input type="radio" value="cook" name="radioset" />Cooktop &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="radio" value="other" name="radioset" />Other &nbsp;&nbsp; </td> <td border="1" width="425" height="225" nowrap="nowrap"> <p><b>Color/Shade</b> &nbsp;&nbsp; <select name="color"> <option value="n"></option> <option value="black">Black</option> <option value="chocolate">Chocolate</option> <option value="grey">Grey</option> <option value="mocha">Mocha</option> <option value="leather">Leather</option> <option value="straw">Straw</option> </select> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Finish</b> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Matte </p> <p><b>Thickness</b> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <select name="thickness"> <option value="n"></option> <option value="3/4">3/4 inch</option> <option value="1">1 inch</option> <option value="1 1/4">1 1/4 inch</option> <option value="1 1/2">1 1/2 inch</option> </select> &nbsp;&nbsp; <b>Backsplash</b> &nbsp;&nbsp; <select name="baksplash"> <option value="n"></option> <optgroup label="Standard Splash"> <option value="1/2">1/2 x 4 inch</option> </optgroup> <optgroup label="Special Splash"> <option value="5">5 inch</option> <option value="6">6 inch</option> <option value="o">Other</option> </optgroup> </select> </p> <p><b>Edge Profile Design </b>&nbsp;&nbsp;&nbsp; <select name="Edge"> <option value="n"></option> <optgroup label="Standard Edge"> <option value="eased">Eased 1/8 inch radius</option> <option value="1/4r">1/4 inch radius</option> <option value="3/8r">3/8 inch radius</option> <option value="1/2r">1/2 inch radius</option> <option value="1/4b">1/4 inch bevel</option> <option value="1/4c">1/4 inch cove</option> </optgroup> <optgroup label="Premium Edge"> <option value="bull">Bullnose</option> <option value="f1/4r">Formal 1/4 inch radius</option> <option value="f3/8r">Formal 3/8 inch radius</option> <option value="f1/2r">Formal 1/2 inch radius</option> <option value="1/4ro">1/4 inch roman ogee</option> <option value="1/2ro">1/2 inch roman ogee</option> </optgroup> <optgroup label="Custom Edge"> <option value="30dbb">30 degree back bevel</option> <option value="c1/4r">Custom 1/4 inch radius</option> <option value="c3/8r">Custom 3/8 inch radius</option> <option value="c1/2r">Custom 1/2 inch radius</option> <option value="F1/4ro">Formal 1/4 inch roman ogee</option> <option value="F1/2ro">Formal 1/2 inch roman ogee</option> </optgroup> </select> <br/><br/> <b>Miscellaneous Additions</b> <br/> <input type="checkbox" value="drain" name="boxset" />Drainboard &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="checkbox" value="trivet" name="boxset" />Stainless Trivet<br/> <input type="checkbox" value="removal" name="boxset" />Tearout/Removal Service &nbsp;&nbsp; Is it: <input type="radio" value="tile" name="radioset" />Tile &nbsp; <input type="radio" value="laminate" name="radioset" />Laminate &nbsp; <input type="radio" value="other" name="radioset" />Other<br/> </p> <p><b>Any other necessary information you feel would be important to consider in order to complete an acurate quote request.</b>&nbsp;&nbsp;<textarea name="comments" rows="3" cols="50" wrap="wrap"> </textarea> </td> </tr> </table> <br/><br/> <hr> <p align="center" nowrap="nowrap"><span class="emph3">Create/Upload Sketch & Measurement Details</span></p> <p nowrap="nowrap"><span class="emph2">Upload sketch of room with all measurements here.</span> <input type="file" name="uploadfile" size="50" /></p> <p nowrap="nowrap"><span class="emph2">Click here if you would like to choose from some basic, general kitchen/bathroom layouts and fill in measurements online. You may also print a copy of the kitchen/bathroom layouts, fill in the measurements by hand and upload them, email them or simply fax them to the number listed at the top of this form.</span><br/><br/> <hr> <p align="center" nowrap="nowrap"><span class="emph3">Additional Comments & Submission</span></p> <table nowrap="nowrap"> <tr> <td width="325" height="150" nowrap="nowrap"> <p nowrap="nowrap"><span class="emph2">Please let us know if you have any specific questions or concerns regarding this quote request, that we may address in our response to you.</span><textarea name="comments" rows="3" cols="40" wrap="wrap"> </textarea> </td> <td width="450" height="150" nowrap="nowrap"> <p nowrap="nowrap"><span class="emph2"><small><small>Quote Requests are based on the information supplied by you. All dimensions and design details are verified on site before fabrication begins, any corrections or changes may effect initial quote. Price includes materials, installation, cutouts and holes as specified by you on site. This price does NOT include removal or replacement of existing cabinets, countertops, plumbing or stove unless specifically required herein. </small></small></span><br/> <span class="emph2"><small>This Quote Request form is based on PaperStone products and availability, costs will vary from product to product.</small></span> <span class="emph2"><small>It is valid up to 90 days from response date.</small></span></p> </td> </tr> </table> <input type="submit" name="submit" class="emph2" value="Request Quote" /> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <input type="reset" class="emph2" value="Reset" /> </form> </body> </html>