RAIN KING WATERPROOFING
Water Abatement Specialists
1-866-965-5464
info@rainkingwaterproofing.com

CONTACT RAIN KING
for MORE INFORMATION or FREE ESTIMATE

All inquiries will be answered within 24 hours!

When you are done, click the "Submit" button at the bottom of the form.
 Thank you!
* First Name:  
* Last Name:  
* Street:  
* City:  
* State:  
* Zip:  
Email:  
* Phone 1:  --    Ext

HOME

WORK

CELL
 
Best Time to Call  (check all that apply):
WEEKDAYS:

MORNING

AFTERNOON

EVENING
WEEKENDS:

MORNING

AFTERNOON

EVENING
   
Phone 2: --    Ext

HOME

WORK

CELL
 
Best Time to Call  (check all that apply):
WEEKDAYS:

MORNING

AFTERNOON

EVENING
WEEKENDS:

MORNING

AFTERNOON

EVENING

PLEASE CHECK any that apply:

Please contact me with more information about Rain King services

I would like a free estimate for Rain King services

  Best time(s) for an appointment to meet with you would be (check any that apply):

WEEKDAYS:

MORNING

AFTERNOON

EVENING
WEEKENDS:

MORNING

AFTERNOON

EVENING

*** THE FOLLOWING SECTION IS OPTIONAL ***
and will help us better assist you when we call.
Please indicate below your areas of concern:

Wet Basement
► How long have you had the water problem?

0-6 mos

6mos-1 year

1-5 years

Forever!
► Do you know where the water is coming from?

YES

NO

NOT SURE
► Do you have a Sump Pump Already?

YES

NO

NOT SURE
► Has your basement ever been waterproofed before?

YES

NO

NOT SURE

Mold and Mildew
► How long have you had the mold & mildew problem?

0-6 mos

6mos-1 year

1-5 years

Forever!
► Can you see the mold and mildew?

YES

NO
► Can you smell the mold and mildew?

YES

NO
► What areas of your home are affected (check all that apply)?
BASEMENT CRAWL SPACE
LIVING AREAS OTHER

Crawl Space Conditioning
► Do you have flooding in the crawl space?

YES

NO

NOT SURE
► Do you have termites or other pests in the crawl space?

YES

NO

NOT SURE
► Are you interested in Crawl Space Encapsulation and Conditioning?

YES

NO

NOT SURE

Dehumidification Services
► Do you have a problem with excessive dampness?

YES

NO

NOT SURE
► If so, what areas of your home are affected?
BASEMENT CRAWL SPACE
LIVING AREAS OTHER

Foundation and Structural Damage
► Do you have any visual damage to either the foundation or structure of your home, such as support beams, framing, etc.?

YES

NO

NOT SURE
► What areas of your home are affected?
BASEMENT CRAWL SPACE
LIVING AREAS OTHER
Please provide any other comments or details that you think will be helpful in describing your concerns:
When you are done,
please click "Submit"		                


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