Client Intake Form - MROM
Name
First Name
Last Name
Spouse first name (if applicable)? //All decision makers will be there? (..in addtion to yourself, is there anyone else...spouse, partner, etc that will be involved with your decisions...to choose color, style, etc?)
Company
E-mail
Phone Number
-
Area Code
Phone Number
Street Address
Street Address Line 2
City
State
Zip
Source
What style of home is it?..ranch, 2 story, cape cod, etc?
# layers? Do you happen to know how many layers of existing asphalt there is?
Yrs in home? How long have you lived in the home?
Staying in home? Do you have any plans on moving soon...do you think you'll stay in the home for at least 10-20 more years?
YES/NO -Understands metal roofing is cheaper in the long term but more costly than asphalt initially. Understands avg asphalt roof costs about $8-$10g and our avg metal install is about $23
Are there any other comments about your roof that might help us be well prepared to serve you when we come out to visit?
General Notes:
Add to MailChimp?
*
Please Select
Yes
No
Add to Lob?
Please Select
Yes
No
Submit
Should be Empty: