Open Menu Start Your Order Start Order Use this form to start placing an order. FIRST NAME* LAST NAME* EMAIL* PHONE NUMBER* PURCHASE ORDER (PO)* COMPLEX NAME* UNIT # / PROPERTY ADDRESS* UNIT STYLE* FLOORING MATERIALS NEEDED* Carpet Vinyl LVT WPC (Coretec) Hardwood VCT None / No material needed, just Installation or Service REQUESTED INSTALL DATE* MM slash DD slash YYYY REQUESTED INSTALL DATE (2ND CHOICE) MM slash DD slash YYYY DO YOU NEED A PAD INSTALLED?* Yes No IS RIP OUT REQUIRED?* Yes No IS HAUL BACK REQUIRED?* Yes No THE SPACE IS:* Occupied Vacant HAS FURNITURE BEEN MOVED?* Yes No DOES YOUR FACILITY HAVE WORKING ELECTRICITY?* Yes No DOES YOUR FACILITY HAVE WORKING HEAT?* Yes No PREFERENCE FOR STOP TIME AM Stop (9a - 12p) PM Stop (12p - 5p) MOVE-IN DATE MM slash DD slash YYYY OTHER MATERIALS NEEDED / SPECIAL INSTRUCTIONS HOW DO WE GAIN ACCESS TO UNIT? OTHER NOTES OR DETAILS 2969 Samuel Drive Bensalem, PA 19020 Phone: 215-639-6300 Fax: 215-244-1757 Toll Free: 800-523-5230 Sectors & Services Products Projects About Contact Us © 2021 Keystone Flooring Products. All Rights Reserved Privacy PolicySitemap CONTACT US