Roof Services Contact Form

Use this form to request a service call anywhere on Long Island and the 5 Boroughs of New York City. Customers outside this area please call 1-800-660-3230 to request service.

Customer Information - All fields are required

Company:
Contact Name:
Billing Address:
Address2:
City:
State:
Zip:
Phone:
Fax:
E-mail:

Job Location Check if same as above

Contact name:
Address:
Address2:
Phone:
Fax:
E-mail:

Leak Information

Number of leaks:
Location of leaks:
Additional comments:

Authorization

Repair work is billed on a labor & materials basis. The crew size will be a minimum of two men. Customer is responsible for travel expenses one way. Material adjustments are billed at net plus 20%. Labor rate is $80 per man hour.

Checking this box indicates your acceptance of these terms.

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