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Name*
First Last
Phone*
Email*
Contact Name*
First Last
Name of contact at property during time of service.
Contact Phone*
Property Address*
Street Address City State ZIP Code
Mailing Address (if different)
Street Address City State ZIP Code
Service(s) Requested*
- Moss Removal
- Roof Replacement
- Roof Cleaning & Maintenance
- Roof Repair
- Roof Inspections
- Other
Please check all that might apply.
Roof Type*
- Composition
- Tile
- Wood Shake / Shingle
- Metal
- Other (specify in comment area)
Age of Roof (approx.)*
Any known existing leaks?*
- Yes
- No
Anything else we need to know?

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CCB# 130404

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Bonn Roof Care Salem
1620 Salem Industrial Dr. NE
Salem, OR 97301
(503) 363-0005

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Total Roof Care

• Certified roof inspections
• Customized maintenance programs
• Customized cleaning
• Waterproofing and moss removal
• Roof and leak repairs
• Wood preservatives
• Gutter and house washing
• Replacement of vents and skylights
• Dry rot repairs

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CCB# 130404

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We Proudly Sponsor

Total Roof Care

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