Revive Carpet Repair, Dyeing & Cleaning 1976 S. La Cienega Blvd, CA 90034
Monday – Friday: 6:00 am – 6:00 pm
Please call us on (310) 736-2018 or fill up the following form to receive an call.
Your Address With City & Zip (required)
Cell Phone # and Work or Home # (required)
Are You The Homeowner/Tenant/Commercial Client or Contractor/Cleaning Company?
I'm The HomeOwnerI'm RentingCommercial ClientContractor/Cleaning Company
Email to send you your Appt time (required)
What Type Of Service(s) Do You Need? (Choose ALL that apply)
Carpet Patch(es)Carpet StretchingCarpet DyeingCarpet CleaningCarpet InstallationTough Stain RemovalNew Carpet InstallationOther
IF CARPET DYEING- Please Select Cause of Damage
BleachToilet Bowl CleanerPet UrineResolve/Other Carpet CleanerWineFood/GreaseSoda/KoolaidUnknown Stain
Type of Carpet- Please Select ---Wool Carpet (Wall to Wall)Nylon Carpet (Wall to Wall)Unknown Fiber Type
After Bleach Spot, did you put a chemical on it yourself? Yes, I tried to Fix It MyselfNo, After bleach spot, I havent touched it
Is the bleach spot carpet dirty? Dirty CarpetClean Carpet
When Was the last date of cleaning?
If Yes, what chemical(s) did you put in the carpet that still remain?
Who Caused the Damage? (required) HomeownerTenantCommercial ClientContractor/Cleaning Company
List Location of Repair(s) & Quantity & Size(s) of Area *
1st Choice For Appt: Date & Time Time:
2nd Choice For Appt: Date & Time Time:
Is there a "Drop Dead" Date in which this has to be completed by (if Yes, enter time & Date)?
(Note: we understand the importance of getting this fixed asap- We just need to know if there is a stop watch that were up against, such as a move-out etc)
Instructions for sending pictures: (1) We Need a picture of the entire room with the bleach spots in it. Send each room separately and each individual spot in that room separately. (2) We Need a closeup with a pen next to the bleach spots to determine scope & size of spots (3) Send each room separately and each individual spot in that room separately. (4) Try to count each spot(s)
Did You Text Pictures Of All Your Area(s) to (805) 500-2915 (Text Only)? YesNoI emailed them instead
Is there anything you specifically want to ask us or Additional info to tell us?