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TOTAL SERVICE ROOFING Purchase Agreement
TOTAL SERVICE ROOFING• 6508 Woodthrush Dr. • Charlotte, NC 28227 • info@totalserviceroofing.com
704-222-1791

LICENSED • BONDED • INSURED -
Email address *
Federal Tax ID# *
Your answer
CUSTOMER INFORMATION NAME•ADDRESS•PHONE•EMAIL•CLAIM # *
Your answer
ROOFING *
NEIGHBORHOOD
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DROP SHINGLES *
NEIGHBORHOOD
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TOTAL SQUARES TO BE REMOVED/REPLACED? *
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STRUCTURES TO BE ROOFED/NOTES: *
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LAYERS TO BE REMOVED? *
________ Steep sqrs: sq _____ ______/12 _____ _____12_____ _____12 Home: Ranch______sq / 2 Story______sq
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Shingle Manufacturer: Year/Style/Color *
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CONFIRM SELECTION HERE BY CHECKING YES *
Required
ROOFING INFO
FILL ANSWERS IN COMPLETELY BELOW
ICE & WATER SHIELD *
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L.F NOTE: *
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DRIP EDGE *
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DRIP EDGE *
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I.F. NOTE *
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COLOR: *
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VALLEY: *
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L.F. WOVEN/CALIFORNIA CUT RIDGE CAP: *
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L.F. PIPE COLLARS *
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FELT *
VENTILATION OPTIONS/CURRENT CONFIGURATION/CHANGES *
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MOUNTED *
BOX VENTS *
BOX VENTS (CONTINUED) *
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Total # ____Color:? Ridge Vent: Metal / Shingle LF:? *
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Step Flashing: _____ Counterflashing: _____ Repl. Chimney: Brick / Siding: _____ Repl. Skylight / Flashing: Total #_____ Color: _________ *
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*Wood decking will be inspected, and replaced as necessary. Replacement wood is not included in the price of this agreement. Up to 3 sheets of 4x8 wood decking will be covered by Total Service Roofing at no additional cost. Each additional sheet is $55. *
Required
GUTTERS
Total LF to be replaced: *
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REPLACEMENT *
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ELEVATIONS: *
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Gutter: _________LF. Size: __________ Color: ____________ Down Spout: ________LF. Size: ______ Color:__________ *
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AGREE TO GUTTER INFORMATION ABOVE *
Required
ADDITIONAL INFORMATION *
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DISCLAIMER *
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DISCLAIMER
Disclaimer - Customer agrees to hold Total Service Company harmless for any of the following: Damage of any kind, caused
by any third party service provider, such as dumpster companies, or material supplier. Any damage caused by vibrations, i.e.,
falling pictures, or light fixtures, small cracks or nail pops in drywall.
This contract constitutes full accord and agreement of the parties, and no other understanding, verbal or otherwise, shall be
binding unless in writing, signed by both parties. This contract is subject to approval by an officer of the company.
In witness whereof purchaser(s) acknowledge receipt of a completed copy of this contract, and all disclosures on the day,
year first written.
Any holder of this contract is subject to any claims and defenses, which the debtor could assert against the seller of goods
or services obtained pursuant hereto or the proceeds hereof. Recovery hereunder by the debtor shall not exceed amounts
paid by the debtor hereunder.
You the buyer may cancel this transaction anytime prior to midnight of the third business day after the date of this transaction.
All installation labor is warranted for 1 year.
TOTAL *
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DISCOUNTS: *
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BALANCE *
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DUE UPON COMPLETION:
Plus any additional supplements requested by Total Service Company
paid by Insurance Company
AGREE TO ABOVE:
PROJECT CONSULTANT *
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PROPERTY OWNER *
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HOMEOWNER IS ENTITLED TO COPY OF THE CONTRACT AT THE TIME OF AFFIXING SIGNATURE.
See Below For Additional Terms and Conditions.
Preferred contact method *
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