Free Estimate Form - Southern MD - Magic Broom Chimney Sweep

Name*

First Last

Address where work is to be performed*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Is the home for sale or part of a real estate transaction?*

Are you the homeowner or real estate agent?*

When are you expecting to get the work done?*

How did you hear about us?

Number of fireplaces in the home*

Does the furnace or water heater vent into the chimney?*

Location of the fireplace or fireplaces that need work? (i.e. main floor, basement, bedroom)*

Have you had a video scan with pictures done to your chimney and fireplace?*

If brick work is needed, how far down from the top is the damage?

What work needs to be completed?*

The followings is important for us to provide accurate estimate work (Without everything below provided, we cannot provide an estimate. Cell phone pictures are acceptable and the easiest way to take necessary photos.)

PICTURE OF FIREPLACE (floor to ceiling)*

Drop files here or

PICTURE OF CHIMNEY EXTERIOR (from ground to top)*

Drop files here or

PICTURES FROM VIDEO SCAN OF CHIMNEY INTERIOR (if you have them)

Drop files here or

ANY RELATED DOCUMENTATION (inspection reports, photos, checklists, other estimates, etc.)

Drop files here or

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