Primary Contact Name (REQUIRED):

Secondary Contact Name:

Phone number 1 (REQUIRED):

Phone number 2

Address:

Zip Code:

Email Address:

Re-enter email address:

How did you hear about Alluring Glass? ContractorAn Internet SearchA tile shopOther

Check all categories you are interested in:
For multiple selection, press Ctrl or Command key Frameless showerSemi-frameless showerFramed showerUnknown showerBasic-edged mirror (sanded only)Beveled-edge mirrorPolished-edge mirrorShelfNot on the listOther

Please describe the current needs of your project. I need to get this measured ordered and installed as quickly as possible.I'd like to obtain a few quotes from various service providers to compare offerings.I'm looking to explore the many types of glass and hardware options available (I am not in a rush).

Please tell us when you would like to receive a phone call. Please call me ASAP.Please call by the end of the business day.Please call me first thing in the morning.Please call me in the next few days.

Please provide a brief description of the space:

If possible, please attach a photo or drawing of the space.

Person to contact (REQUIRED):

Contractor's Name (if applicable):

Contact Phone Number (REQUIRED):

Contact Email Address:

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Brief description of the challenge:

If possible, please upload a picture of the problem area:

When do you need us to take action? TodayTomorrowI am in no hurry

What is your availability over the next five days?

When would you like us to contact you? ImmediatelyLater TodayTomorrowIn a Few Days

How would you like us to contact you? CallTextEmailAny or all of the above

Did Alluring Glass install the product in need of repair or adjustment? YesNo

Homeowner Contact Name:

Secondary Contact Name:

Homeowner Phone Number 1:

Homeowner Phone Number 2:

Homeowner Address:

Homeowner Zip Code:

Homeowner Email Address:

Company Name (REQUIRED):

Company Contact (REQUIRED):

Company Contact Phone (REQUIRED):

Company Contact Email:

Re-enter email address:

Communication Preference: EmailTextCallAny and/or all of the above

Check all categories you are interested in:
For multiple selection, press Ctrl or Command key Frameless showerSemi-frameless showerFramed showerTabletopBasic-edged mirror (sanded only)Beveled-edge mirrorPolished-edge mirrorShelfUnknown showerNot on the listOther

When do you want us to reach out to you? ImmediatelyLater TodayTomorrowIn a few daysOther

Please provide a brief description of the space:

If possible, please attach a photo or drawing of the space.

Who will be responsible for payment?

If different, who should we email the price to?

If approved for order, who would be our contact to schedule installation?

Are you looking to schedule or re-schedule your installation?ScheduleReschedule

Person to contact (REQUIRED):

Contractor's Name (if applicable):

Contact Phone Number: (REQUIRED)

Contact Email Address:

Re-enter contact email address:

When would you like us to contact you?ImmediatelyBy the end of todayTomorrow is fineNo Rush - over the next few days is fine.

How would you like us to contact you? CallTextEmailAny or/all of the above

What is your availability for installation over the next five days?