Launch Online Form | Tear-Off Roofing for VD&RRR

Valley Demo & Raingutter
Valley Roof Removal

Serving the Sacramento Valley for over 25+ years

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Terms & Conditions

VALLEY DEMO & RAINGUTTER
Billing Address: 696 San Ramon Valley Blvd STE 304, Danville, CA 94526
Phone: (916) 455-1690 Fax: (925) 718-5138
E-MAIL: schedule@valleydemo.com

TEAR-OFF ORDER FORM

Online Tear-off Order Form

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Requested Tear-Off Date*

DD slash MM slash YYYY

Contractor*

Phone*

Job Location

Cross Street

City

Homeowner

Phone

Contractor E-Mail Address

License #

Contractor Billing Address

Special Instructions

Squares

Type of Roof

Layers

# of Stories

Roof Pitch

4/12

6/12

8/12

10/12

12/12

Other

Notes

Tear Off:

House

Patio

Garage:

Attached

Detached

Jacks:

Save

Tear Off

Gutters:

Save

Tear Off

Antenna:

Save

Tear Off

#of ft

A/C on Roof:

Yes

No

Dormer Vents

Save

Tear Off

How Many?

Turbines:

Save

Tear Off

Tear Off Solar Panels

Yes

No

(must be disconnected by Contractor or H/O)

Cathedral Ceiling

Yes

No

How Many?

Skylights

Yes

No

How Many?

Access

Good

Poor

None

Low Trees

Narrow Driveway

Ground Drop

Yes

No

(ground drop is for 8/12 and above or poor access)

Outside Dogs?

Yes

No

Partial Tear Off:

(Contractor/Homeowner must be present)

Special Instructions:

Trap, Flowers, Etc.:

Does material need to be carried up or down? This type of transition could result in a double handling charge of $10.00/square extra

Yes

No

Drawing

Drop files here or

Max. file size: 1 GB.

THIS FORM SERVES AS OUR CONTRACT. PLEASE SIGN TO DESIGNATE THAT YOU UNDERSTAND AND AGREE TO ALL STIPULATIONS AS OUTLINED ON OUR ADDITIONAL TERMS & CONDITIONS, WHICH CAN BE VIEWED ON OUR WEBSITE; AND THAT ALL INFORMATION IS TRUE AND ACCURATE.

Signature*

Date*

DD slash MM slash YYYY

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