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Want a printable form?[Click here]

 

Contact Person:*
Name of Organization:*
Denomination (if applicable):
Address:*
City:*
State:*
Zip Code:*
Country:*
Telephone:*
Fax:*
Email:*
*Required  
   
Location where Altar(s) will be installed:
Number of Altar(s) Needed:
Are photos attached of the original altars that need reproduction?
Yes No
These altar(s) are needed by:
Approximate Age of Building:
Do you need King Richard’s to deliver the altar(s)?
Yes No
Do you need King Richard’s to install the altar(s)?
Yes No
Which are you...
Building Owner? Contractor?
Do you intend to:
Renovate? Build New?
Do you require insurance for anyone working at your facility?
Yes No
Do you require property insurance from King Richard’s while the altar(s) are being built?
Yes No
Who made the original altar(s)?
Do you need King Richard’s to provide working drawings?
Yes No
Do you have a written specification to follow?
Yes No
Do you have blueprints for this work?
Yes No
Timetable to Proceed:
Immediately Projected No Hurry
We desire an on-site, no obligation consultation from King Richard’s at our facility:
Yes No
Have you worked with King Richard’s in the past?
Yes No
How did you become aware of King Richard’s services?
Additional comments