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East Coast Concrete Solutions LLC
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Intake form
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Name
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Email address
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Phone number
Type of project
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Residential
Commercial
Industrial
Service needed
Please select at least one option.
Concrete Driveways
Concrete Slabs
Concrete Patios
Sidewalks
Foundations
Masonry Repairs
Retaining Walls
Demolition and Replacement
Grading and Drainage
Warehouse Floor Repairs
Storm Drain Structures
Preferred contact method
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Phone
Email
Project timeline
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Immediately
Within 1 month
Within 3 months
Flexible
Project budget
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Under $5,000
$5,000 - $10,000
$10,000 - $20,000
Over $20,000
Location of project
Which service or services are you interested in?
Please select at least one option.
Concrete driveways
Concrete patios
Concrete sidewalks
Initial consultation for $150
Follow-up consultation for $100
Additional questions or comments
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