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Residential Lead Generation Campaign Info
Company Name
Personal Email
Password
Main Office Contact
Office Phone Number
Company Address
Street Address
City
State/Province
Postal Zip Code
Company Website
Years In Business
How Many Workers Does Your Comapany Have?
Please Select
1-10
10-20
20-50
50-100+
Additional States Serviced
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Customer Information
First Name
Last Name
Customer Email
Customer Phone Number
Lead Delivery Email
Scheduling Information
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours You Would Like To Receive Leads (Weekdays)
Until
How Many Time Between Appointments?
Please Select
1 Hour
1.5 Hours
2 Hours
2.5 Hours
3 Hours
TeleMarketing Areas
Storm Dates
Campaign Information
Roofing System Serviced
Asphalt Shingle Roofing System
Tile Roofing Systems
Metal Roofing Systems
Flat Roofing Systems(TPO,EPDM,Coating,etc..)
All Roofing Systems
Would you like to receive appointments for homeowners who have been denied by their insurance?
Yes
No
Would You Like To Receive Same Day Appointments?
Yes
No
Would You Like To Receive Appointments For Homeowners Who Are Looking For Cash Bids?
Yes
No
If You Answered "YES" To Cash Jobs, Do You Offer Financing For Homeowners?
Yes
No
Does your company currently utilize any other marketing services?
Yes
No
Addition Notes
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