Lake Orion Roofing - Quality Service and Customer Satisifaction for Over 18 Years

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Lake Orion Roofing Inc.
(248) 393-0055
(248) 393-2913 (fax)

Sales and Service:
sales@lakeorionroofing.com

General Information:
info@lakeorionroofing.com

Website & Advertising:
web@lakeorionroofing.com

Customer Information

Thank you for visiting our website. Just complete the following form and let us know how we can help you. Please note: Blank fields are permitted, however please furnish as much information as possible. This information will be used by Lake Orion Roofing only and will not be provided to any source outside of our company. You should receive a reply from a sales representative within 24 hours.
If you should have difficulty completing the form or have questions, please contact us at area code 248-393-0055 to discuss matters with a professional sales representative.

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?
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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?
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Thank You!