Request a Quote Form | Grafted Church

Name

First

Last

Phone

Email

WORK INFORMATION

Address of Requested Work

Address Line 1

Address Line 2

City

State

Zip Code

Requested Dates

Please give us 3 dates you are available for the work. If there is a deadline, please specify when it must be completed. This is not a guarantee of work, but a request.

Scope of Work

Please explain what is needed and include any tools or equipment needed.

Situational Circumstances

Please explain circumstances that have created the need for work.

DISCLAIMER AND ACKNOWLEDGEMENT

Address AND Work

Disclaimer

A submitted request does not guarantee work-day approval. Work days are intended to serve needs that meet at least one of the following criteria:

A. The requested work is required for health and well-being of the household.

B. The requester cannot complete the work themselves or afford to hire a contractor.

C. The requester cannot complete the work themselves in a given timeline without unreasonable requests.

Signature

Clear Signature

Please sign that you understand the perimeters of this request.