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Storm Damage Help / Request A Quote
*
First Name
Last Name
Street Name & Number
City
Zip
*
Home Phone
Work Phone
Email address
I am interested in an estimate for
Solid-Vinyl Siding
Fiber-Cement Siding
Either Vinyl or Fiber-Cement
Composition Shingles
Metal Roof System
Wood Shakes/Shingles
Roof Coating
Other Speciality Roof System
Painting
Window Replacement
Seamless Guttering
Other ( not specified above)
Roofing - Storm Damage
I want to start this project
As soon as possible
Within 2-weeks
Within 4-weeks
Within 6-months
beyond 6-months
I heard about Aztec Roofing & Siding through
Southwestern Bell Yellow Pages
A friend referred me to you
A business associate referred me to you
My company uses Aztec
I saw your vehicle signs
Other (not specified aboved)
I saw your yard sign
I found you on the internet
If you are interested in a new roof system -
(a) is your new roof leaking?
Yes No
(b) how many layers of roofing is on your home/building now?
One-layer
two-layers
three-layers
I do not know
(c) If this is storm damage, have you contacted your insurance company?
Yes No
(d) if this is storm damage, has your insurance adjuster approved your loss?
Yes No
(e) Are you considering upgrading your roof system?
Yes No
(f) Are you interested in extended warranty coverage (labor & material) offered by manufacturers?
Yes No
My home is a
one-story
two-story
Split-level
structure.
What I want most in a contractor is
Please enter any additional comments in the box below:
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