877-GO-DECRA [463-3272]

 

 

 

DECRA Roof Registration
Property Owner Information    
  How did you first hear about DECRA:
  First Name:   *
  Last Name:   *
  Street Address:   *
  City:   *
  State:    *
  Zip:   *
  E-mail:   *
  Phone Number:   *
  Contractor Information    
  Contractors Name:  
  Contractors Email:   *
  Contractor Address:     
  Contractor City:  
  Contractor State:   *
  Contractors Zip:  
Your DECRA Roof    
  Date Roof was installed:   *
  DECRA Profile:  
  Roof Color:  
  Number of squares:  
 Notes or Questions: