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Project Address:
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Primary Phone:
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Email:
Preferred Contact Method:	Day Evening Email
Product Choice:	Commercial Roofing Residential Roofing Siding Windows Gutters
Existing Product Type:	Cedar Shakes Concrete Tile Shingles Flat Roofing Metal Roofing Simulated Shakes Simulated Slate Metal Siding Wood or other Siding Wood Windows Other Windows Unknown
Desired Product Type:	Simulated Slate	Simulated       Shake	Dimentional       Shingles
	Authentic Slate	Cedar Shakes	Three-tab
	Concrete Tile	Clay Tile	Metal
	Stonecoated Steel	Flat	Coatings
	New Siding	New Windows	New Gutters
	Skylights	Ventilation	Open for       Suggestions
	Built-up Roof	Single-ply Roof	Other
Desired Warranty:	N/A Lifetime 50 year 40 year 30 year 25 year
Type of Work:	New Construction Repair Replacement
Desired Timeframe:	Now Soon, needs fixing Month or two No Hurry
How did you hear about us?:	Contractor Recommendation Direct Mail Home Show Internet Search Newspaper Magazine Phone Book/Yellow Pages Radio Word of Mouth Other
Additional Information: