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Sender’s: Name:____________________________________________________________
Daytime Phone Number:______________________________________________________
Shipping Address:___________________________________________________________
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Billing Address (If different than above) _________________________________________________________________________
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(Check all that apply)
____ I have included all the parts I can locate.
____ I”ve kept the following parts as they do not need restoration:
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____ I would like an estimate before any work is done.
____ I would like to have the fixtures completely restored. (Leak free and fully replated in nickel, handles and parts repaired or replaced if needed.)
____ The fixtures only need to be made leak-free, the existing finish is acceptable to me.
____ Just clean and replate. Valves don’t have to work, I am using them as museum pieces.
____Other: ________________________________________________________________
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