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| 2. Do you own your home?
Yes
No |
| 3. How old is your home?
years |
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4. How many windows need replacement?
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5. How many patio doors?
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| 6. Do you have an estimate already?
Yes
No |
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7. If so, for what brand of windows?
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8. How soon are you looking to have this work done?
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9. How did you hear about us?
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Salutation: |
Mr.
Mrs.
Ms. |
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First name: |
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Initial: |
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Last name: |
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Address: |
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City: |
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State: |
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Zip: |
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E-mail address: |
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Home phone: |
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Work phone: |
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Best time to contact you:
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Best time for your free in home estimate:
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I am also interested in:
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| Do you belong to a Home Owners Association?
Yes
No |
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If so, please describe their regulations on vinyl windows below: |
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Additional Comments: |
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