Referral Rewards Locations Warranty Financing 1- 833-696-0060

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4509-201 Creedmoor Rd
Raleigh, NC 27612

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1-833-696-0060

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info@themodernroofers.com

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Monday – Friday
8:00 AM – 5:00 PM

Questions? Call us!

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Find Out Your Roof's Health Instantly!

Know If and When Your Roof Was Hit by Extreme Weather

Just enter your address to see the history of events your roof has endured from damaging winds to 3 inch hail.

Get Instant Input on Condition of Your Roof

Don't be fooled by a roof that looks unaffected. Our free tool can tell you the exact dates and how many times your roof was hit by extreme weather.

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GET INSTANT REPORT

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Submit A Referral

Referrer Information

The referrer is the person making the referral

Referrer First Name *

Field is required!

First name of the person making the referral

Referrer Last Name *

Field is required!

Last name of the person making the referral

Referrer Email *

Field is required!

Email address of the person making the referral to send updates about reward progress. A VALID EMAIL ADDRESS IS REQUIRED TO SUBMIT THIS FORM OR IT WILL BE REJECTED AS SPAM.

Referrer Phone Number *

Field is required!

Phone number of the person making the referral in case we have questions about your referral or your reward

Referrer a Modern customer?
Yes
No

Referrer a Modern customer?

Field is required!

Referrer Mailing Address *

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City

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- select a state -
Alabama
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Arizona
Arkansas
California
Colorado
Connecticut
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District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

- select a state -

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Zipcode

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This is the address where the referral reward will be sent

Submit A Referral

Referrer Information

The referral is the person being referred to Modern

Referral First Name *

Field is required!

First name of the person being referred to Modern

Referral Last Name *

Field is required!

Last name of the person being referred to Modern

Referral Email *

Field is required!

Email address of the person being referred to Modern

Referral Phone Number *

Field is required!

Phone number of the person being referred to Modern. We need this so we can contact them to make an appointment with them to inspect their roof.

Referral Address *

Field is required!

City

Field is required!

- select a state -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

- select a state -

Field is required!

Zipcode

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The address of the property being referred

Modern Representative

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If you have a specific representative at Modern you wish to receive this referral, please put their name here. Otherwise, your referral will be assigned to a Modern Representative who is working in your referral's neighborhood.

Additional Project Information

Field is required!

Any details or specific information you can share about the project you are referring are welcome

Full Name of Person Filling Out This Form (If Not Referrer)

Field is required!

Full Name of Person Filling Out This Form (If Not Referrer)

Program Details *

I have read the Program Details and understand how the Modern Referral Rewards Program works

I am submitting this form on behalf of the referrer and acknowledge that if they do not understand the process I will be responsible

Field is required!

Submit

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