Estimate form

---

Please feel free to consult.
Please input a necessary matter to the following form
※This is a required item

Ｑ 1	Name※
Ｑ 2	Address※
Ｑ 3	telephone※
Ｑ 4	Consultation and estimate part※	Building Extension and rebuilding Wooden is earthquake-proof Painting (outside wall, roof, and xylem etc) Interior (wallpaper,cushion floor, and flooring floor etc) Plughole metal fittings Kitchen Bathroom Lavatory Rest room Boiler Electricity (lighting, outlet, and IH cooking heater etc) Door (back door, interior door, and bathroom door etc) Sash Exterior (siding etc) Roof (tile substitution and waterproof) Gutter Balcony terrace Gate door and carport fence Gate and wall Parking lot Prefab Barn Others
Ｑ 5	hope day of the week of on-site survey	Sat Sun Mon Tue Wed Thu Fri
Ｑ 6	Site survey hope time zone	Morning Afternoon
Ｑ 7	Other consultation and opinion

Thank you very much. Please transmit the answer pushing "Transmission" button.

---