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Contractors Address
Contractors Name
City,State,Zip
Contractor's Phone #
Cell #
Fax #
Contractor's E- Mail Address
Owner's Name
Job Owner's Phone #
Tear off Date
Tear Off Address
City,State,Zip
Numbers of Squares
Time
Roof Pitch
Material
How Many Layers
 Save Flashings
Additional Info & roofs not to be tear off specify :
Access
1 Or 2 Story
H & G 
House Only