Appointment RequestFill out the form below to request an appointment with us. We will contact you to confirm the appointment. 1. Contact Information First Name * Last Name * Email Address * Phone Number * 2. Project Address Address * City * State/Province * Postal Code * 3. Service Details Tell us about your project * 4. Scheduling Preferences How did you hear about us? * Select...Google SearchFacebookInstagramReferralYard SignTruck/VehiclePrevious CustomerOther Preferred Date * Alternate Date (optional) I agree to receive text messages from R&J Concrete Coatings. These may include project related updates, appointment reminders, and other project related information. Message and data rates may apply. Message frequency varies. Reply HELP for help or STOP to opt out. View the Privacy Policy & Terms and Conditions.