Consultation Form

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Shop from home, and choose from a wide selection of replacement vinyl windows and doors.
Please fill in the information below to Schedule your Free in-home Consultation.

You will also receive a $50.00 Gift Certificate. It's our way of saying, "Thank you for visiting."

Are you the homeowner?	Yes No
What type of home do you own?	single-detachedsemi-detachedtown house
Years at residence:
Are your windows original?	Yes No
Approximate timeframe for project*:	immediately0-3 months4-7 months
Total number of windows and doors you are planning to replace:
Siding / Eavestrough / Fascia / Soffit	New construction Existing replacement
Interior shutters	Installation
Contact Info
Title *:	Mr.Mrs.Ms.Miss
First Name *:
Last Name *:
Address*:
City*:
Postal Code*: (Only begin with L,M,N)
Home Phone*:	416905647519705
Altern. Phone:	416905647519705
Email *:
Best Time to Call:	DayEvening
Since there are many choices and options to consider in a renovation project, we would obviously like to see you and your partner together, (although not essential), because this is an important decision for your home, and questions are bound to be asked, and we want to be able to answer all of them. Please consider this when selecting a date and time for your appointment.
Please list two convenient appointment times in order of preference Note: these will not schedule you an appointment automatically, these are only suggested times. WELDA representative will call you to confirm the actual appointment date and time.
1st Preference*: Date: Time: 12:00 p.m.2:00 p.m.4:00 p.m.6:00 p.m.8:00 p.m. 2nd Preference*: Date: Time: 12:00 p.m.2:00 p.m.4:00 p.m.6:00 p.m.8:00 p.m. Comments: How did you hear about us? *: -- Select --InternetTelemarketingReferralYellow Pages/Phone BookNewspaperHome ShowRadioTVMagazineYard SignOther

    

When You Submit Your Request:

You will be sent a Coupon via email. Print out a coupon and present it to your WELDA Representative when he or she arrives at your home to claim your offer.

Important Note:

*One coupon per household. Not to be used in conjunction with any other offer.