Roofing Information Form
Client Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How steep is the roof?
Easily Walkable
Pretty Steep
Very Steep
How many stories is the home?
1
2
3
Is there a driveway to place the materials/dumpster?
Yes
No
Is there access to the entire perimeter of the home? (No locked fences, alley owned by neighbor, etc)
Yes
No
Are any detached structures to be included in the roof replacement?
Yes
No
Best way to reach customer?
Text Message
Phone Call
Either
Shingles Color: TAMKO Titan XT Class 3 Impact Rating 160 MPH Wind Resistance
Rustic Black (Pure black, most popular)
Black Walnut (Black with some brown hues)
Shadow Grey (Medium gray, hints of blue)
Olde English Pewter (Very light gray)
Natural Timber (Standard brown)
Rustic Cedar (Tan/Yellow Brown)
Rustic Redwood (Dark Brown)
Other (Please add to Notes)
Notes
File Upload
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of
Sales Rep Name
First Name
Last Name
Sales Rep Phone Number
Format: (000) 000-0000.
Submit
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