Free Roof Estimate or Inspection Request Form

Complete the form below and let us know how we can help you. We do free roof inspections and provide free roofing and insulation job estimates.

Your privacy will be protected. Your information will be used by Lake Orion Roofing only and will not be shared outside of our company. You should receive a reply from a sales representative within 24 hours.

If you have difficulty completing the form, have questions, or just prefer to talk to a live person, please call us at

248-393-0055

to discuss your roofing needs with one of our professional representatives.

Name:
Company Name:

Business Address:

City, State, Zip:
	Your mailing address: (If this is the same, please type "same" in address)
Mailing Address:

City, State, Zip:
Area Code:
Home Phone:
Work Phone:
Other:
E-Mail Address:

Best day:

Best time:

Do you need help consulting with your insurance company?
Yes No

Name of Insurance Company:

Insurance Company Phone Number:

Please see our Home page for information on roof types.

Type of Roof: (please select all that apply).

New Reroof Tear-Off Flat Roof
Residential Commercial

Shingles:
Manufacturer and Model:	Color:
Warranty:

Is there any additional information you would like to provide?
Yes No

Thank You!