Name:
Email Address:
Street Address:
City/Town:
Province/State:
Country:
Postal Code/ZIP:
Telephone:
You want to purchase:
TRC SOLO
How Many?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
20+
What Colour?
Hunter Green
Satin Black
Satin Khaki
Espresso
Mixed Colours - please specify in notes below
You want to purchase:
TRC TWIN
How Many?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
20+
What Colour?
Hunter Green
Satin Black
Satin Khaki
Espresso
Mixed Colours - please specify in notes below
You want to purchase:
TRC TRIO
How many?
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
20+
What Colour?
Hunter Green
Satin Black
Satin Khaki
Espresso
Mixed Colours - please specify in notes below
You want to purchase:
Accessories - please describe in notes
Please choose the service options to be quoted:
Installation
Standard Annual Maintenance
Warranty Maintenance
None
Please choose delivery method to be quoted:
Shipping
Local Pickup
Approx. Square Footage of roof:
Total number of downspouts on your home:
1
2
3
4
5
6
7
8
9
10
How did you find out about The Rain Collector?
SELECT ONE
Internet Search
Eco-Work.ca
Auction
Fundraising Event
The Link magazine
Cottage Life magazine
The Era Banner
Torontoist.com article
Daytime on RogersTV
In Tune with Real Estate on RogersTV
Product Flyer
Windfall Ecology Festival
Saw Installed on a house
Facebook Product page
Local Garden Centre
Word of Mouth
Comments: