Couch Potato Carpet

Schedule an Appointment

Complete the below form and one of the Couch Potato Carpet Sales Associates will contact you to discuss your specific flooring needs.

Contact Information

First Name:

Last Name:

Email Address:

Home Number:

Work Number:

Cell Number:

Address for installation

Street:

City:


State:

Zip:


How did you find us?


Other:

Floor covering

Type of covering:
 Carpet Vinyl Laminate Hardwood Tile
If carpet:
 Plush Berber Frieze Shag Commercial Other
Quality of floor required:
 Good Better Best

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