Linktree - Roofer Intake Form

1

What is your company name?* This field is required.

2

Main Contact?* This field is required.

First Name

Last Name

3

Phone Number* This field is required.

Please enter a valid phone number.

4

Email* This field is required.

example@example.com

6

How many States do you do business in?* This field is required.

1

2

3+

7

How many roof jobs do you do a month?* This field is required.

1 - 10

10 - 30

30+

8

How many Insurance roof jobs do you do a month?* This field is required.

1 - 10

10 - 30

30+

9

Does your company storm chase?* This field is required.

YESNO

10

How many Admins does your company have?* This field is required.

1

2- 5

5 - 10

10+

11

How many Sales Reps does your company have?* This field is required.

1

2 - 5

5 - 10

10+

12

What is your approximate annual revenue?