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P.O. Box 1535 Harwood Hill
Bennington, VT 05201
802-442-2899
Fax
802-442-9961

ACOUSTICAL • ROOFING • SHEET METAL • WATERPROOFING CONTRACTORS

Place a Request for Repair Service or Roof Replacement from
Vermont Roofing

Name
Billing Address
City
State	Massachusetts New York Vermont Zip
Phone	H: W: please use area code: 802-555-5555
Is this a repair or work covered by insurance? Yes      No
Leak Address
City	State Massachusetts New York Vermont
Roof Type
Roof Color
Building Color
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