7381 Guide Meridian Rd.

Lynden, WA 98264

Phone: 360-354-4335

Fax: 360-354--1335

SERVICE REQUEST FORM


Please fill in any information that you feel is applicable. The more information you can provide, the more accurate and timely response we can provide.


Are you an existing customer of Hytech Roofing? Yes No
Name*
Company Name
Billing Address
City State
Zip Code Phone*
Email Fax
PO Number


Type of Service Requested* (Check all that apply)

Bid Request Roof Leak Roof Repair
Tenant Improvements Maintenance Inspection
Commercial Re-roofing Residential Re-roofing Information
New Construction Residential New Construction Commercial


Project/Site Info
Name of Project Building Name/#
Building Address* City*
State* Zip Code*
Onsite Contact* Contact No.*
Roof Type*
TPO PVC Torchdown BUR
Shingle Metal EPDM Other
Roof Access
Roofhatch Stairs Ladder
Security Clearance? Yes No


Building Height Roof Slope
Deck/ Substrate Type
Plywood T&G Wood Steel Concrete Other

Additional Comments or information: