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RE-ROOF ESTIMATE REQUEST FORM
Please complete the form below to receive a call to schedule a Re-roof or Repair estimate from Southern Coast Roofing.

1. What type of roof do you currently have?
Concrete Tile Cedar Shakes
Clay Tile Asphalt Shingles
Standing Seam Metal Modified Bitumen
2. How many stories is your roof, is your community gated? Have you seen an adjuster yet?
3. Frequency of leakage
During all rains Not leaking now
During driving rains only  
4. Extent of leakage
Severe Mild
Not leaking now  
5. An appointment will be scheduled to meet personally with you to measure the roof, put the contract in writting and to go over the proposal with you to answer any questions.
9. Re-roof Estimate Authorization
Name:
Date:
10. Please provide your contact information below.
Contact Name:
Company:
Email:
Daytime Phone:
Evening Phone:
Address:
Address 2:
City:
State:
Zip:
   
 

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