Free Estimate
Please provide the following contact information:
Name
*
First Name
Last Name
Email
*
example@example.com
Phone (Day)
Phone (Evening)
Street Address
Area / Neighborhood
City
Zip
Additional Directions
Scope of Work
roof replacement
roof repair only
new construction - install
What kind of roof do you have now ?
composition shingle
wood shingle
tile
metal
tar & gravel
flat modified
don't know / other
Age of roof
1 - 5 yrs
6 - 10 yrs
11 - 15 yrs
16+ yrs
don't know / unsure
How many layers of existing material ?
1
2
don't know / unsure
If roof is leaking now, indicate where (bedroom, kitchen, etc.) and severity of leak and interior damages (if any).
Height
one story
two story
three story
Roof Slope
low slope (flat)
normal pitch (able to walk)
steep (unable to walk without equipment)
Does our estimator have your permission to get on your roof to conduct inspection if you are away?
Yes
No
How did you discover Discount Roofing ?
Friend
Yellow Pages: Consolidated
Yellow Pages: Yellowbook
Yellow Pages: Interfaith
Searched : Google
Searched : Lycos
Searched : MSN
Searched : Yahoo!
Other {Please Comment}
Comments / Additional Information
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