Product Acceptance Form

ONLINE SELECTED PRODUCT ACCEPTANCE FORM

Click Here to go to the Colorbond Colour Charts

Glenroofing Pty Ltd would like to thank you for the opportunity to undertake the repairs at your property. In the interest of maintaining a high quality level of repairs and service, we would ask you to confirm that the product supplied for the repairs meets your satisfaction.

CLIENT CONFIRMATION FORM BELOW

"I, the undersigned, acknowledge that the samples of the product supplied and shown to myself & associated with the above claim number have been accepted as the product to be used to undertake the scope of works as provided by Glenroofing Pty Ltd"

* Indicates required field

Name *

First

Last

Claim Number (if applicable) *

Address *

Email *

Phone Number *

Please select your colours below:

Area One Description: Please Select One *

Area Two Description: Please Select One *

Area Three Description: Please Select One *

Colour Bond Selection Area One *

Colour Bond Selection Area Two *

Colourbond Selection Area Three *

Additional Information/Comments *

If there are any issues submitting this form please contact Glenroofing Pty Ltd on
(02) 6550 0776 or Click Here to Email them

DISCLAIMER:
"I understand that by Submitting this form I am entering a binding contract with Glenroofing Pty Ltd specific to colourbond selection, by submitting this form that an email acceptance will act as a customer signature".

Submit

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ONLINE SELECTED PRODUCT ACCEPTANCE FORM

CLIENT CONFIRMATION FORM BELOW

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