Name of Church
First Name
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Last Name
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Email
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Phone
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Church address for Roof Estimate
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City
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Zip code
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How old is your roof?
Roof is older than 20 years
Roof is older than 15 years
Roof is between 10-14 yrs
Roof is less than 10 years
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What kind of roof do you have now?
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Asphalt Shingles
Terra Cotta
Metal
Slate
Do not know
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Why do you need a new roof
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Choose
Roof is older than 15 years
I am having leaks
I had other damage to it like wind, hail, storm
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What kind of new roof do you want?
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Asphalt shingles
Metal
Slate
Open to options
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When do you want the new roof installed?
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within 30 days
within 60 days
within 90 days
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Would you like to learn about Solar Panels to reduce Electric bills?
Yes, we want to find how to reduce electric
No
Maybe
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