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EMERGENCY SERVICE

CONTACT COUVREURS DE L’EST: FOR EMERGENCY WORK IN MONTREAL AND THE SURROUNDING AREAS

EMERGENCY SERVICE REQUEST FORM

This form is for EMERGENCY SERVICE requests only, not for estimates. This form is for any EMERGENCY situation, whether under our warranty or not.

YOUR INFORMATION

SALUTATION

FIRST NAME*

LAST NAME*

EMAIL*

ADDRESS*

CITY*

POSTAL CODE*

PHONE NUMBER*

OFFICE PHONE NUMBER

FAX

ROOF INFORMATION

TYPE OF BUILDING

NUMBER OF FLOORS IN YOUR BUILDING *

TYPE OF ROOF*

AGE OF EXISITING ROOF *

COMMENTS*

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