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H.C Roof Repair
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Intake form
Help us serve you better
Name
*
Email address
*
Phone number
What type of roofing service do you need?
Please select at least one option.
Roof repair
New roof installation
Shingles
Flat roof
Tile roof
What is the size of your roof? (in square feet)
When do you need the service?
Select
As soon as possible
Within a week
Within a month
Flexible
Do you have a preferred roofing material?
Select
Asphalt shingles
Metal
Tile
Wood
Flat roofing
Not sure
What is the condition of your current roof?
Select
New
Good
Fair
Poor
Not applicable
Do you have any specific concerns or issues with your roof?
Which service or services are you interested in?
Please select at least one option.
Roof repair
New roof installation
Flat roof solutions
Additional questions or comments
Submit
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