Request Form Fill out our form to request assistance from your Trusted Roofing Advisors as A&G Roofing 1 The Basics2 Contact Information3 Additional Information What type of building are you inquiring about?*ResidentialCommercialIndustrialPlease tell us what type of solution you are inquiring about:* New Roofing Solution/Service Repairs to Existing Roof Inspection/Report Insulation/Ventilation Products/Solution Winter Services This is an emergency, my roof is leaking What stage are you at right now?*Decision: I am looking to get the work done right awayPlanning: I'm preparing to have the work complete in 60-90 daysBudget: Gathering information to do the work in 6 months to a year Name* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone*Email (optional) When is the best time to contact you?*MorningAfternoonEveningNo Preference Please describe your needs in as much detail as possible*Upload photos of your roof here (optional) Drop files here or Accepted file types: jpg, png, pdf, jpeg. How did you hear about A&G Roofing? (optional)Website/Search EngineAdvertisement/SignEmail/NewsletterSocial MediaFamily or FriendOther ReferralNameThis field is for validation purposes and should be left unchanged.