Skip to content
754-270-6499
info@upgradegc.com
Home
Services
Roofing
Impact Windows & Doors
Insurance Claim Support
Mold Testing & Remediation
Solar Panel Services
About us
Blog
Areas We Serve
Financing
Contact
X
Contact Us
Lead Intake Form
Upgrade GC Lead Intake
UPGRADE
GC
General Contractors
Lead Intake
Fast mobile form for reps — required fields
*
Homeowner Name
*
Phone #
*
Email
Street
*
City
*
ZIP
*
Lead Source/Channel
*
How did you find us?
Door-to-Door Canvassing
Referral (Friend/Family/Customer)
Networking Event
Trade Show
Local Advertising
BNI (Business Network International)
Chamber of Commerce
Google/Online Search
Facebook/Social Media
Yard Sign
Radio/TV Advertisement
Direct Mail
Previous Customer
Other
Lead Type
*
Select...
Roof Replacement
Roof Repair
Windows/Doors
Water
Gutters
Solar Panels
Mold Remediation
Insurance Claim
Other
Roof Type
Select...
Shingle
Tile
Metal
Flat
Slate
Other
Unknown
Approx. Home Age
Select...
0–10 yrs
10–20 yrs
20–30 yrs
30+ yrs
Unknown
How Soon?
*
Select...
Emergency/ASAP
1–2 weeks
1–3 months
3–6 months
6+ months
Just exploring
Reason for Replacement
Select...
Storm damage
Hurricane damage
Hail damage
Wind damage
Roof age / leaks
Missing shingles
HOA / Insurance requirement
Selling home / inspection failed
Upgrade aesthetics
Energy efficiency
Other
Language
*
Select...
English
Spanish
Creole
Portuguese
Other
Sales Rep
*
Select rep...
Next Step
*
Select...
Follow-up Call
Schedule Inspection
Send Proposal
Booked Appointment
Contract Sent
Insurance Meeting
Other
Next Step Date & Time
*
Special Notes
Submit Lead
✅ Submitted! We'll follow up shortly.
❌ Error submitting. Try again.
Call Now Button