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925 Mid Atlantic Parkway
Martinsburg, WV 25404
Phone: 304-263-9494
Our Heritage
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New Customer - Commercial Quote Request Form
Please completely fill out the form to request a commercial quote. All fields denoted by a red (
*
) are required
*
Contact Name:
*
Contact Phone:
OR
*
Contact Email:
Service Requested
Leak Service
Comprehensive Survey
Quote for Repair/Maintenance
Quote for New/Re-Roof
By the submission of this form the customer is under no obligation to contract with Heritage Roofing, Inc. This request will be sent directly to our Sales and Service Departments and you will be contacted within 24 hours. If your request is a roof related emergency, please call 717-377-7676 for immediate assistance.
Company Information (optional)
Company Name:
Street Address:
Po Box:
City:
Zip:
Contact Name:
Contact Phone:
Fax:
Email:
Contact Preference
Phone
Fax
Email
Best Time to Contact
Morning
Afternoon
Evening
Proposal/Price Deadline:
Bid Date(if applicable):
Type of Company:
Contractor
Owner
Management Company
HOA
Other
Building/Site Information (optional)
Name:
Street Address:
City:
Zip:
On Site Contact:
Alternate Phone:
Scheduling Preference:
Building Type
Warehouse
Office
Retail
Government
Restaurant
Hospital
School
Residential
Other
Please describe building / site and any problem areas:
*
Do you require a Purchase Order?
Purchase Order #:
Roof Access:
Roof Hatch
Wall Ladder
Other
If other please explain:
Age of Building:
Height of Building:
List any current or previous leaks reported and their approximate location(s):
Is Roof Under Warranty?
Yes
No
Not Sure
If so, Warranty Manufacture:
Year Roof Installed:
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