Holland Roofing Co., Inc.
Phone: 907-344-9911   Fax: 907-344-9941
Email: info@hollandroofingco.com

Alaska Business License #269361
Licensed, Bonded and Insured

Office Hours: Monday-Friday 9 am - 5 pm
Please complete the following form to receive a free estimate.  You will be contacted by our
office to confirm that your request was received.  Thank you!
Your name:
Email:
Street address
(no P.O. Boxes)
Zip code:
Mailing address
(if different than above):
Phone number:
Alternate phone number:
Fax number:
What type of information
would you like to receive?
(check all that apply):
 Please provide a free estimate to have
my roof replaced
I would like a free estimate for a new
roof on my newly constructed home
I need a thorough roof inspection to
determine the condition and life
expectancy of my roof ($300+ charge)
Other
What products are you interested
in receiving a price for?
(check all that apply):
Traditional Shingles (3-Tab, 25-30 year)
High Wind Shingles (3-Tab, 30-35 Year)
Designer Architectural Shingles (30-50 year)
EPDM / TPO / PVC Membrane (flat roofing)
Metal Roofing (50 year)    
Cedar Shakes
Other
How Did You Hear About
Holland Roofing?
(hold down the "Shift" button to
select more than one option)
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