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Contact Information 
To have a representative contact you, please fill out the following information. 

Name
 
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Department/Division
Title
Mailing Address  
Delivery Location Address
City  
State  
Zip Code  
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FAX
E-mail  
   
Local Tax Rate
County
   
Accounts Payable Contact Information:
Name
 
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Mailing Address  
City  
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Are you capable of paying a 50% deposit?
(All orders require a Purchase Order
and a 50% deposit.)

 
 
       
Product Choices
Total Square Feet
  (minimum of 400 ft2)    
 
Paver Size
 
  2' x 2.5' x 1.875 2' x 2' x 1.875  
       
Color
 
Gray Terra Cotta
Black Other
Black w/ white specs  
       
Site Information
  The following information will help us provide you with the most accurate estimate.
Feel free to email or send any photographs of the sites. Thank You.
       
Width of sidewalks?  
  Site 1:
  Site 2:
  Site 3:
  Site 4:  
       
Estimated number of sites & square feet per site: Are sites close to each other?
   
       
Is concrete/asphalt in sites now? Age of current concrete installation:
   
Less than 3 years
3-5 years
5-10 years
Not since concrete was first laid
       
Are there sprinkler heads or pipes along site(s)? Will installation(s) be straight? Meandering? Both? Please decribe all site(s).
 

 
       
Will custom cutting be required? (special configurations, utility boxes, mail boxes, lamp post and other obstructions) Will ramping over roots be required?
 

 
       
Will ADA ramps be needed?  
     
       
Species of trees near installations: Age of trees near installations:
   
       
Last tree canopy trimming: Name and email of staff or consulting arborist: 
 
Less than 3 years
3-5 years
5-10 years
 
       
Type of soil (sandy, adobe, clay, etc.) Water and watering conditions:
   
       
Any other information: