New Client Details

New Client Details
Name*

First NameLast Name
Site Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Address, if different from Site Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Preferred contact method*

CallTextEmail

How did you hear about us?*
What type of Roof?*

Tilled RoofIron RoofOther, please specify below
Description of works required:*
If you have any photos or any additional information you would like to provide, please email it to hello@racellroofing.com.au
Are you an Owner Occupier of this property?
Occupant's contact details and time window for the site inspection. (If this is left empty, we will be contacting you for the site inspection)*
If it is okay to conduct the inspection without anyone present, please provide details regarding the specific area of concern. This will help us conduct the inspection without the need for inside access. If we need further details, we'll contact you.(We will notify you prior to the site inspection)*
Included in the Inspection:*

InspectionResolution OptionsGeneral DiagnosisVerbal ReportQuote
Complete above Inspection*

TOTAL COST TO YOU, BILLED UPFRONT - $165 inc of GST (to be discounted upon quote acceptance)
Temporary Waterproofing / Immediate Fix:

Up to TOTAL COST TO YOU - $165 inc of GST (Immediate Fix, Quote will only be supplied if necessary)
Written Roof Report:

TOTAL COST TO YOU - $165 inc of GST
Travel Charge:

TOTAL COST TO YOU, BILLED UPFRONT $2.20 inc of GST per kilometer if outside of Mudgee residential area (starting from and returning to 78 Douro St. Mudgee)
We strive to have the most efficient turnaround on every step of our process. Mondays after 10:30 AM work best for our initial roof inspections but we can often make time throughout the remainder of the week. To help us deliver your satisfaction as promptly as possible, please provide the time window(s) that best suit you.*
eg: Anytime Monday, Wednesday between 12:00PM - 4:00 PM
The inspection charge of $165 inc GST is capped at max 1 hour and will be deducted from the quoted amount if you decide to proceed with the quote. If the Temporary Waterproofing / Immediate Fix exceeds $165 inc GST, we will obtain your approval before proceeding. The client is to prompt what they wish to have reported and if they need multiple resolution options. Note that these charges and exceptions apply to non-commercial projects only.

Upon submitting this form, you accept that you'll be sent an invoice for the inspection and travel charges and payment is required before the site inspection.

*If for any reason we are unable to complete the site inspection, you will be notified and we will refund the paid amount in full.
Should be Empty: