Would You Like a Free Estimate For a Re-roof or Repair?

Please use this form to let us know!  We will respond as soon as we receive your request...
Contact Landeros Roofing Solutions
* Your 1st & Last Name:
* Your email address:
* Your phone number:
 Is This:
Alternate phone #:
Is This:
Tell us your general
roofing-related issue or concern:
Are You?:
Type of Property:
If Needed, Company
or Property Mgmt
Name to be Billed:
* Billing Address:
* Billing City:
* Job Site Address:
* Job Site City:
We need to bring a ladder of proper length!
What type of roof do you have?
(Hold down the "Ctrl" key to click and
select more than one type of roof...)
If "Other", please specifiy here:
If not sure, what is your best guess?
What kind of services do you think you want?
Check all that apply...
Roof Inspection
 Gutter Cleaning
Roof Repair (active leak)
 Gutter Repair(s)
Roof Maintenance (preventative)
 New Gutters
Re-roof
 Other (specify below)
Roof Coating
Will this be billed through Escrow?

If YES, please enter the following Information.
Yes
 No
Escrow #:
Title Company Name:
Title Co. Address:
Title Co. City:
Title Co. Agent Name:
Title Co. Agent's Phone #:
Title Co. Agent's Fax #:
What is your general availability to meet us at this job site during the day?
We will try to coordinate our schedule with yours in the fastest way possible!!
(Pick more than one time period per day by holding down the Control key when you click...)
Today:
 Tomorrow:
Mon:
 Tues:
Wed:
 Thurs:
Fri:
 Sat:
Sun:
How soon do you want the ACTUAL WORK done?
How did you find us?  (THANK YOU!)
Local phone book:
Internet Yellow Pages:
Internet Search Engine:
Referral From:
Our business card
Other (specify below)
LRS
Tracy, CA 95376

Toll Free:          
866-389-5338

Steven's Cell:  
209-814-3032

Julie's Cell:      
209-814-6154

Fax:                    
209-835-6233