Grasshopper Garden and Patio 301-432-5428 Knoxville, MD 21758 ESTIMATE or CONTACT REQUEST FORM Type of Property Single Family Townhouse Other What are you interested in having done? Hardscape Patio Walkway Wall Other Approximate Square Footage if Known (Length X Width) Site Conditions Flat Sloped Gardens or Beds New Landscaping Renovation Other Do you have an approximate Budget at this time? Yes No Amount if Applicable (helps us with your plan) Under $2000 $2000-$5000 $5000-$10000 $10000-$15000 $15000-$25000 $25000-$30000 $30000-$40000 $40000 + Or Fill in Approximate Amount: Would you like to schedule a site visit? Yes Not Yet Additional Comments: How did you hear about us? Please Choose One Online Search Friend/Referral Facebook Phone Book Newspaper Truck Sign Yard Sign Other Referred by: Your Name: How Should we contact you? (Please fill in at least one) email: Phone: Your Zip Code * Please type in what you see so we know you are a real person *