| Contact Information: |
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| Property Information: |
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| 1. What type of roof do you currently have? |
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| 2. What type of roof are you interested in? |
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| 2. When would you like to schedule your new roof? |
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| 3. What is the Height of your building? |
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| 4. Is there an exposed ceiling? |
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| 5. Is there anyone else involved in the decision process? |
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| 6. Are you interested in a new roof, or a re-roof? |
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