Work request form

Are you a current Cabinet Rx client?

Use the form below to request service from Cabinet Rx. Please provide as many details, as possible, in order for us to provide an accurate estimate and timeline for completion. If you have any questions, please contact Jeff Kleinschmidt at (815) 759-1575 or Jeff@EliteFurnitureService.com.

Not a current client?

Return to our Home Page or visit our Contact Us Page to get in contact with us, and learn how Cabinet Rx can help ensure a perfect home presentation, every time.

Primary Contact: Designer, Realtor, Builder, Manufacturer, Installer, etc.

Please list your company contact information, as the primary contact for this work order.

Primary Contact

First Name

Last Name

Company

Primary Contact Phone

(###)

###

####

Primary Contact Email

Home Owner, Client, Renter Information

Please use this section to provide contact information for the home owners/occupants of the home/building.

Client Name

First Name

Last Name

Client Phone

(###)

###

####

Client Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Request

Scope of Work

Special Materials

Materials Supplied by

Vendor

Builder

Cabinet Rx

Special Instructions

Preferred Completion Date

Let us know what your ideal timeline looks like. We cannot guarantee any date, but we will work with you to get it as close as possible.

MM

DD

YYYY

Work request form

Cabinet Rx

Expert Interior Finishing, Restoration + Repair