Fill out this questionnaire* to receive a $50 CREDIT toward your UNITED project! Credit may be applied to Remodeling Services, a New Roof, or a minimum of 8 Hours of Services by our UNITED Home Repair Team.
UNITED Questionnaire
fields titled in maroon are required
Name
Address
City	State    Zip
Job Address
Day Phone
Evening Phone
Best time to call
Fax
Email
Type of work I'm interested in: Home remodeling Addition Attic Basement Bath Deck Kitchen Roofing Siding Whole House Remodel Cabinets for remodeling Cabinets for new home construction Home Repair Team services for myself Home Repair Team services for a family member Other (please specify) Window and Doors: Windows Doors Storm Doors Skylights I would like to discuss my project: At the UNITED offices At my home At my place of business By telephone By Email If you have any other comments or questions, please type them in the space below. Additional Information How did you originally come to know of UNITED? Internet search engine (please specify)        Link from other Web site (please specify)        Magazines Newspaper Mailer Aware of civic activities Radio Television Home Show Signs on trucks or job sites Yellow pages A previous customer       Customer name             UNITED consultant's name (if known)       Are you a previous UNITED customer? Yes       No Please double check your form. If everything is correct, press "Submit". If you made any mistakes press the "Reset" button.
*intended for jobs not already in progress
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