Submit a Referral

  • Referrer Information

    The referrer is the person making the referral
  • First name of person making the referral
  • Last name of person making the referral
  • 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.
  • Phone number of the person making the referral in case we have questions about your referral or your reward
  • This is the address where the referral reward will be sent
  • Referral Information

    The referral is the person being referred to Premier
  • First name of the person being referred to Premier
  • Last name of the person being referred to ARC Contracting
  • Email address of the person being referred to ARC Contracting
  • Phone number of the person being referred to ARC Contracting. We need this so we can contact them to make an appointment with them to inspect their roof.
  • The address of the property being referred
  • Any details or specific information you can share about the project you are referring are welcome
  • If you have a specific representative at ARC Contracting you wish to receive this referral, please put their name here. Otherwise, your referral will be assigned to an ARC Contracting Representative who is working in your referral's neighborhood.
  • Put your first and last name here if you are filling out this form on behalf of the referrer

Schedule Appointment

Choose a time that works best for you!

  • Date Format: MM slash DD slash YYYY