Home Consultation

	Mr.      Mrs.
Name:
Surname:
Tel.:	(day )
Tel.:	(evening)
Fax.:
E-mail:
Address:
City:
Province:
Postal code:

You would like a consultation to discuss:

	the installation of a new hardwood floor
	the installation of a hardwood staircase
	the repair and finishing of an existing hardwood floor
	the staining and finishing of an existing hardwood floor
	products for maintaining your hardwood floor

Did you know about Cantin prior to visiting this Web site?

yes

no

If not, how did you find about our product/service offering?

	radio spot
	newspaper ad
	Yellow Pages
	referred by a friend, an acquaintance
	you are an existing customer
Other:

Comments or questions: