Lead Form for Donation
Rescue Organization
Carl Rausche / Project Manager - 888-800-4647
[email protected]
Please fill out the following information to be contacted by FixAll Roofing for a consultation on storm repairs and qualification for donation to your favorite Animal Rescue / Shelter Organization
A percentage of the  cost of repairs will be given to your favorite Animal Rescue / Shelter Organization upon completion of project
$7,000 - $10,000 Donate $250      $10,001 - $15,000 Donate $350      $15,001 - $30,000 Donate $400     $30,001 - or higher $450
-- BONUS --
Leads turned in by Oct. 15th will receive an additional $100 for your Rescue Organization
Date: Is this a
501 c3 Organization?
Please make donation to the following Rescue Organization:
YES
NO
Phone # :
Person to contact: Cell Phone # :
Email Address:
Street P.O.Box Address to Organization: City: Zip Code:
TX
Comments:
The following is information on property in need of repair:
Person to Contact:
Phone #
Cell Phone #:
Street Address: Zip Code:
City:
TX
Property is: Residential Commercial No. of Buildings:
Est. Sq. Ft. Living Area:
Comments:
Insurance Information:
Name of Insurance Company:
Please Fill In All Information
YES NO
Have you phoned in your claim?
Once All Information is Complete Please Click SUBMIT
Make Copy of POP Up Page
Has the adjuster been out?
Do you have the paper work?
Once the form is received the contact person for the property will be contacted for an appointment. 
     
                   FixAll Roofing
         Performamance Check List
             1.  No money required up front
                 2.  Most roofs completed in 2 days
                 3.  Jobs are only nailed, no staples  
                 4.  Four nails per shingle  
                 5.  Replace all roof stacks
                 6.  Gutters cleaned of all debris           
                 7.  Yard & drive cleaned daily  
                 8.  Yard rolled with magnetic roller
                 9.  We use pre-painted vents  
               10. Customer oriented with your needs in mind.
                                 Complete Customer Satisfaction.
If you have any questions please call
Carl Rausche
Project Manager
888-800-4647
[email protected]
"Save a Life .... Adopt a Friend"
www.fixallroofing.com
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