Appointment Request - Customer Portal

Blankenship PCS: Act Fast!

Secure your spot! Experience the Blankenship PCS difference.

First Name

Last Name

Email Address

Phone Number

Address

City

State/Province

Postal Code

How did you hear about us?

Select the service you are interested in.

Please select the size range that best describes your project area.

Briefly describe the goal of your project (optional)

What is your preferred start date for project? (REQUIRED FIELD)

Please specify if there is a specific date by which the project must be started or completed. Provide the date(s) below. (optional)

Could you detail any particular project requirements or logistical considerations we should account for, such as preferred scheduling, sensitivities to certain materials, or any access difficulties, including narrow passages, steps to elevated areas, side-only entrances, steep slopes, or other specific site conditions? (REQUIRED FIELD)

Form completion requires uploading current floor condition photos.

Notification Consent

I agree to receive text messages from Blankenship Polished Concrete Services, LLC.. These messages may include project-related updates, appointment reminders, and other important project-related information. I understand that standard text messaging data rates may apply, message frequency may vary, and I may receive multiple messages per month. I may opt out of receiving these messages at any time by replying "STOP" to any text message, or by contacting Blankenship Polished Concrete Services, LLC. directly.

Accepting SMS terms and conditions is required.

Terms and Conditions

This Privacy Policy explains how our company collects, uses, shares, and protects information when you use our text messaging service.

1. Information We Collect
Personal Information: We collect your phone number and any information you voluntarily share through messages.
Automatic Information: We may automatically collect data such as message timestamps, delivery status, and usage patterns.

2. How We Use Your Information
Service Delivery: To send and receive messages, provide support, and improve our service.
Communication: To communicate service updates and account notifications.
Analytics: To analyze service usage and enhance user experience.

3. Sharing Your Information We do not sell your information. We will not share your information with third-parties or affliates for marketing or promotional purposes. We may share your data with third-party service providers for purposes of delivery, analytics, or legal compliance, ensuring they adhere to strict confidentiality obligations.

4. Data Security We implement safeguards to protect your information against unauthorized access, alteration, or disclosure. However, no method of transmission is completely secure.

5. Your Choices You may opt out of marketing messages at any time by replying “STOP.” Note that opting out may limit some service features.

6. Changes to This Policy We may update this Privacy Policy periodically. Changes are effective upon posting.
Your use of our service signifies acceptance of this policy.