Homeowner / Building Owner:

Installation Address:

City:

State:

Zip:

Email:

Is this a private residence or
commercial property: please select one Commercial Residential

Product(s) Installed:

Staggered     Shingle  
Shake   Shapes   Weathered


Color:

Installing Contractor/Company:

Date Installed:

Contractors phone number:

Approximate price of the Job: under $10,000   $10,000-$15,000  
$15,000-$20,000   $20,000-$25,000   $25,000+

The above information is used for The Tapco’s Group’s private use and market analysis. Tapco respects your privacy; at most you will be sent one product survey and an annual email offering discounts toward our products. You may opt-out of receiving any further emails from the Tapco Group at any time. We will not sell or use your information.