Name: Address: First Line 1 Last Line 2 Phone/Fax: City State AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Home Zip Code Work Email: Cell Information: How did you hear about us? When do you plan to do the construction project? choose one Immediately In 1 to 2 months In 3 to 6 months Means of Payment: choose one cash check credit card (Mastercard or Visa) Need financing (on approved credit) What are your future plans with your property? choose one Plan to stay for 15 to 20 years Plan to stay for 9 to 14 years Plan to stay for 5 to 8 years Plan to stay for 1 to 4 years Plan to move ASAP Windows: What type of construction project do you desire? choose one New Construction Residential Home Rental Home Apartment Complex Condominium Complex Church Office Building other Type of existing windows? Single paned   Double paned   Aluminum   Wood   Vinyl   Not sure Type of windows wanted? Single paned   Double paned   Aluminum   Wood   Vinyl   Not sure Siding: What type of construction project do you desire? choose one New Construction Residential Home Rental Home Apartment Complex Condominium Complex Church Office Building other Type of existing siding? Wood  Brick  LP  Hardy-Plank  Vinyl   Not sure Type of siding wanted? Wood  Brick  LP  Hardy-Plank  Vinyl   Not sure Roofing: What type of construction project do you desire? choose one Roof Certification New Construction Residential Home Rental Home Apartment Complex Condominium Complex Church Office Building other Type of Existing Roof: choose one Composition Shake Metal Tile Hot Tar Torch Down Combination of Roofs shown Not Sure Type of Roof Wanted: 3 Tab Composition 25 year Laminated Composition 30 year Laminated Composition 40 year Laminated Composition Metal Tile Shake Hot Tar Torch Down PVC Not Sure How many layers of roofing are on the existing roof? choose one 1 2 3 4 not sure