Call Center Lead Form - BJs

Great, let's get some information about your project.

First Name

What's your First and Last Name?

Verify spelling

Last Name

Lead Source

Referred By

Project Postal Code

What is the project Postal Code?

Product / Service

What product are you interested in?

If Tile, ask where it is being installed.
If "outside", Direct Connect with Affiliate.

If Tile and Wood: "We'll try to find 1 Contractor for both, but may need to assign 2 Contractors."

Store Location - State/Province

Store Cust Shops In - City / Store #

Can you confirm the Store that you shop in?

Select a different store if applicable.

E-Mail

Confirm E-Mail

No Email

Can I have your email?

If they object: We need your email so we can send updates and give you access to My Projects, your customer portal, where you can manage the project yourself.

Project Street Address

City

The "Project" City is not on the list

State/Province

What is the street address for the project?

Confirm City; Select a different City if needed.

Check if billing address is different.

Is your billing address the same as the project address?

Special Instructions

Cell Phone

Home Phone

Other Phone

Thank you. Before I submit your request, do you have any other questions?

You should receive a call from a Provider within the next 48 business hours to schedule your appointment.

We look forward to helping you with your project.

By checking “Submit” below, I am agreeing to receive offers from Installation Made Easy or an affiliated certified contractor related to my home project at the phone number and/or email address provided above. Phone calls and texts may be sent with an automated system or autodialer that sequences numbers; STOP to stop at any time. Recurring messages. Consent not a condition of purchase.

You may also contact us at 877-BJS-4747 to request a consultation.