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How soon do you want the ACTUAL WORK done?
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* Your 1st & Last Name:
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* Your email address:
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If Needed, Company
or Property Mgmt
Name to be Billed:
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* Billing Address:
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* Billing City:
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* Zip Code:
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* Your phone number:
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Is This:
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Is This:
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Alternate phone #:
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May We Text You on Your Cell Phone?:
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Are You?:
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Type of Property:
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* Job Site Address:
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* Job Site City:
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Is This A Gated Community?
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What type of roof do you have?
(Hold down the "Ctrl" key to click and
select more than one type of roof...)
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If "Other", please specifiy here:
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If not sure, what is your best guess?
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We need to bring a ladder of proper length!
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Is This A Steep Roof?
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What kind of services do you think you want?
Check all that apply...
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($$) Written Report with Embedded Photos = $$ based upon distance from our base in Tracy
(Roof Inspection such as Realtors Need When Buying/Selling Homes)
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(Free) General Roof Inspection
(Verbal Assessment, with Emailed Quote and Photos)
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Sorry, we are no longer offering re-roof services or new gutter installations...
We only do roof repairs and gutter cleaning/repairs.
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Roof Repair (active leak)
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Roof Maintenance (preventative)
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Gutter Cleaning
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Roof Coating (for flat roofs)
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Gutter Repair(s)
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Tell us your general roofing-related issue or concern:
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Will this be billed through Escrow?
If YES, please enter the following Information.
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Yes
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No
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Escrow #:
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Title Company Name:
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Title Co. Address:
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Title Co. City:
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Title Co. Agent Name:
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Title Co. Agent's Phone #:
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Title Co. Agent's Fax #:
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What is your general availability to meet us at this job site during the day?
We will try to coordinate our schedule with yours in the fastest way possible!!
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(Pick more than one time period per day by holding down the Control key when you click...)
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Tues:
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Mon:
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Thurs:
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Wed:
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Sat:
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Fri:
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How did you find us? (THANK YOU!)
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Local phone book:
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Internet:
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Referral From:
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Our business card
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Other (specify below)
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