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Pre-Appointment

Project Survey

Waunakee Remodeling and Renewal by Andersen

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PLEASE TELL US ABOUT YOUR PROJECT AND CONSULTATION PREFERENCES

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First Last

Address

Street Address City State ZIP Code

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Mailing Address

Street Address City State ZIP Code

Phone Number (please provide two numbers if possible)

Additional Phone

Email

Year Home was Built

Do You:

Plan to Sell Home Soon

Home is Currently For Sale

None of the Above

Were You Referred by Someone?

Yes

No

Name and Address of Referral

Project Interest (check all that apply)

Windows

Patio Doors

Entry Doors

Storm Doors

Siding

Skylights

Solar Tubes

Roofing

Gutters

Gutter Guards

Downspouts

Egress Window

Soffit & Fascia

Other

Please tell us about your project

What issues are you currently experiencing? Is the product original to the home? If replaced previously, when? Any additional information you think we need to know?

Preferred Appointment Day

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Preferred Time (start of appointment)

9am-11am

11am-1pm

1pm-3pm

3pm-5pm

Custom time

Custom Time

REMODELING GUIDE

PROJECT GALLERY

MADISON SHOWROOM

5960 Odana Road
Madison, WI 53719
T: 608.442.0032

WAUNAKEE SHOWROOM

1001 Frank H Street
Waunakee, WI 53597
T: 608-268-7140

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