Service or Repair Requests

To request commercial roofing service or maintenance, please select what type of customer you are (New or Existing) below. Then provide your contact information and a representative from Wayne's Roofing will contact you within the next 1 to 2 business days.

Or call us at: (253) 750-3213

Toll-free at (877) 639-1500 ext. 2003.

Request Service Accordingly

Service Request for Prime or Existing Customer

Customer Type

Company Name

Reported By

First Name

Last Name

Phone

(###)

###

####

Type of Service

Date

Request Date of Service

YYYY

Building Site Name

Site Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Description

Jobsite Contact

First Name

Last Name

Jobsite Contact Phone

(###)

###

####

New Customer Service Request

Customer Type:

How Did You hear about Us?

Referral Name

Company Name:

Reported By:

First Name

Last Name

Company Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Accounting Address (if different):

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Accounts Payable Contact:

First Name

Last Name

Accounts Payable or Invoice Submittal E-mail:

Phone Number:

(###)

###

####

Fax Number:

(###)

###

####

Work Description:

Job Site Information

Building Site Name:

Site Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Tax Status:

You are the:

If your are not the Owner:

If you are not the Owner or Owner Representative, please provide the following:

Owner's Name:

First Name

Last Name

Owner's Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

UBI Number (if applicable):

If your company does not have a UBI number, please type N/A

Contractor's Registration Number:

If your company does not have a Contractor's Registration number, please type N/A

Bank Reference:

Payment Terms: I authorize Wayne's Roofing, Inc. to investigate the references pertinent to my credit worthiness. I agree to abide by all of the terms and conditions, which are Net 30-Day terms.

Signature:

First Name

Last Name

Date:

YYYY

SUMNER WEATHER

Service or Repair Requests

Request Service Accordingly

Wayne’s Roofing, Inc.