ContactName* First Last Email* Address Street Address City State / Province / Region ZIP / Postal Code Phone*Wide Plank InformationWho was your sales rep today?*Joe GlavinJim AsciuttoChris SullivanDante GuerraFred BeachMike GlavinTomas OchoaSteve TanseyOtherAre you a...*Are you a...ContractorProperty OwnerArchitectInterior DesignerOtherIs this your first visit?*YesNoHow many times have you visited?*234+5Are you working with a... Contractor Architect Interior Designer Approximate Square Footage*Are you interested in solid or engineered wood?* Solid Wood Engineered Wood Wood Species* American Cherry Ash Brazilian Cherry Hickory Ipe (Brazilian Walnut) Maple Reclaimed Heart Pine Reclaimed Oak Mix Red Birch Red Oak Santos Mahogany Tigerwood Walnut White Oak Yellow Birch Undecided Is there radiant heat under the floor?*YesNoIs the floor going over concrete?*YesNoWhat is the time frame for your project?*What is the time frame for your project?Less than 2 weeks1-2 weeks1-2 months3-5 months6 months-1 yearOver 1 yearSubscribe to Wide Plank News & Updates* Yes No Additional InformationP21 Customer NameP21 Customer IDIs the customer interested in…* Select All Prefinished Unfinished What build is the customer interested in?* Select All 3/4 solid 3/4 engineered 5/8 engineered Other What widths is the customer interested in?* Select All 3" 4" 5" 6" 7" 8" 9" 10" 11" 12" 13" 14" Other Is the customer interested in length spec?* Select All 1" to 8" 2" to 10" 3" to 10" 4" to 10" 18" to 10" Other What grade is the customer interested in?* Select All Select Character Reclaimed Other What Cut Type is the customer interested in? Select All Plain Sawn Live Sawn Rift & Quartered Rift Only Quartered Only Milled Face Original Face Other What distressed techniques or special effects is the customer interested in? Select All Black Bleed Face and Edges Fill and Sand Hand Scraped Face Hand Scraped Edge Hand Distressing Skip Plane Wire Brush Other What color shade is the customer interested in?* Select All Light Medium Dark Natural List any additional special requirements, special customer interests, etc.