Complete only the parts of this form which are relevant to your question, request or comment. (Please note that in order to qualify for a free estimate*, you must provide your name, a valid address, and at least one valid phone number so that we can contact you!) About your roof: How old (in years) is your home? Select... 0-10 11-20 21-40 41-60 61 + Not sure How old (in years) is your current roof? Select... 0-10 11-20 21 + Not sure When are you planning on replacing current roof? Select... 0-3 months 3 months-1 year 1 year or more Not sure What type of material covers your roof? Select... Tar and Gravel Shingle Fiberglass Shingle Wood Shake/Shingle Fiber Cement Steel Tile Clay Tile Lightweight Concrete Tile Standing Seam Metal Corrugated Metal Other Not sure Does your roof leak? Select... No Very little Boy, does it! Not sure Are you aware of any structural or cosmetic problem with your roof? Select... Sagging Exposed plywood Missing shingles/tiles Dry-rot Just plain ugly Other Not sure None Do you have any problems with the gutters? Select... No Yes Not sure Do you have a comment or question for our roofing experts? Check this box to request a free estimate from Skyline! About You Name Address City ZIP Daytime Phone Evening Phone Email Address More ways to contact us... *Free estimate available only within the Skyline Roofing general service area, and is granted at the discretion of Skyline Roofing. To qualify, customer must provide a valid address and telephone number. One free estimate per customer.