Estimate Request Form
Customer Type
Residential
Business
Property Manager
Storm (Internal Use)
Show Repair Options
Yes
**Storm Mode -- Repair
**
Name of Repair Tech.
Repair Notes:
Repair Photo/File Upload
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Pictures or PDF Documents
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**Storm Mode -- Estimate
**
Name of Storm Rep.
Estimate Notes:
Estimated Cost $$
Estimate Photo/File Upload
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Pictures or PDF Documents
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Full Name (Primary Contact)
*
First Name
Last Name
E-mail Address (Primary Contact)
*
(This is where we will send the Estimate)
Phone Number (Primary Contact)
*
Business Name
Work Order #
(Optional)
Contact Tenant/Owner before arriving?
Yes
No
Tenant or On-site Contact
First
Last Name
Phone Number of Tenant or On-site Contact
How did you hear about us?
(Referred By)
Address
*
Second Address
*
Add Second Address
Please choose the categories that best describe your roof damage or request:
*
Replacement Estimate
Leak
Tune-Up
Fascia
Tile Damage
Soffits
Shingle Damage
Other
Which type of Roof Replacement?
Shingle
Flat Roof (Modified Bitumen)
5V Metal
Standing Seam Metal
Other
Which type of roof do you have now?
Shingle
Flat Roof (Modified Bitumen)
5V Metal
Standing Seam Metal
Other
.Which type of Roof Replacement?
Shingle, 5V Metal, Standing Seam Metal, Membrane, etc.
.Which type of roof do you have now?
Tile, Shingle, Metal
Building Height / Number of Stories
(Optional)
Estimated Age of Roof?
(Years - Optional)
What should we should know about the existing roof?
Double layer of shingles, old / atypical construction, etc.
Tile Color?
Shingle Color?
Estimated number affected?
Description:
Water spot in bathroom, Area of Shingle/Tile Damage, etc.
Upload inspection reports or damage photos:
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Pictures or PDF Documents
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Pre-Fill Option
Yes
Save
Submit
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