9979 Main Street • Fairfax, VA 22031
Phone: (703) 934-8447 Fax: (703) 934-7807
3041 Golansky Blvd • Woodbridge, VA 22192
Phone: (703) 691-3100 Fax: (703) 691-3104
P.O.BOX 55 • White Plains, MD 20695
Phone: (301) 843-2598 Fax: (310) 843-2628
At Flooring America, Your Complete Satisfaction Is Our Priority!
Please Return This Completed Form To Establish Your Warranty
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*Client Name: *Installation Date: Calendar (MM/DD/YYYY)
*Client Address:
*Client Email:
  Flooring America/FA Design Build will not sell or rent your email address and will only use it for internal communications.
*Phone Number:-- *Sales Invoice Number:
*Sales Professional's Name: *Installer's Name:
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 Timeliness of installation
 Quality of workmanship
 Evaluate the overall installation experience
 Evaluate post installation clean-up
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*Would you purchase from Flooring America again?
*Would you recommend Flooring America to your relatives or friends?
*What prompted you to select Flooring America?
           If so, who referred you so we can thank them?
           If so, how did you search?
           If so, which newspaper?
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We are pleased that you chose Flooring America for your floor covering needs and would like to remind you that we are here to serve you after the sale as well! If you have any questions or concerns with your purchase or installation, please feel free to contact your salesperson or our service department directly in VA at 703-691-3100 or in MD at 301-843-2598.