E-MAIL INQUIRY AND REQUEST FORM

Information is used only for purposes directly related to this inquiry.  Information is confidential and never sold or distributed.

                 1.        Provide Your Contact Information

                               Tell Me About Scheduled Inspection and Preventive Programs!

                2.        What Year Was Your Home/Building Constructed or Its Approximate Age?         

                3.        Approximate Age And Condition Of Existing Roof?               

                4.        Describe Roof  (i.e.  "L" shaped building, red tile roof, flat patio roof...)   

                5.        How Many Stories Is The Building?      

                6.        Approximate Total Square Feet Of Area Inside Building?    

                7.        What Questions Do you Have?  What Can We Do For You?  

                8.        How Can We Contact You?

                                    Telephone        Fax        E-Mail

                9.        Is Your Inquiry...

                                    Future        Immediate       Urgent        Emergency

               10.      How Did You Hear Of Us?

                                    Friend        Advertisement        Yellow Pages        Internet                 Other  

                                    Past/Present Folger Roofing Client         Who? 

                Your information is confidential and used only to prepare our response and enhance service. 

A Service Representative will contact you promptly.

Thank You !