Name:
Email:
Phone Number:
Address:
Town:
Postcode:
How did you hear about us?
Do you just need a repair done, or something else?
If not a bath, what do you require re-enamelled? i.e. bath, basin, shower tray, etc.
What colour is the bath?
Is it a standard size?
Yes No
Does it fit up against the wall with a panel on the side?
Yes No
Has the bath been resurfaced before?
Yes No
What is the condition of the bath, i.e. are the any chips, rust, cracks, limescale damage?
Additional Comments:
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