Contact Information:

Name

*

Telephone (with area code)

*

Email

*

Property Location:

Street Address

City/State

Property Description:

Type of Property

Commercial Industrial Institutional Residential: Single Family Residential: Multi-Family Residential: Town House Condominium

Type of Roof

Flat  Sloped

Roof Area (if known)

sq. ft.

Are there multiple
roof sections?

Yes  No

If yes, how many?

Are you currently
 experiencing any
roof problems?

Yes  No

If yes, please describe:

Is there a roof hatch?

Yes  No

If exterior access only,
how many stories
is the building?

Is your roof currently
under warranty?

Yes  No  Don't Know

Please add any
additional comments
or concerns here:

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Once your request has been submitted, a representative of Desjardins Roofing will contact you within 48 hours. However, if you should require immediate assistance, please call 603.772.5172 now.

Thank you. It will be our pleasure to serve you!