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Register for our contest by filling out the form below. Registration is required for participation in the Dales Roofing Ugly Roof Contest.
General Information
* First Name: 
* Last Name: 
* Birthday: 
* Gender: 
 Male      Female
* Public Name: 
  Must be 4-10 characters
* Email: 
  Only one registration is allowed per email address.
* Confirm Email: 
* Phone: 
Address Line 1: 
Address Line 2: 
Postal Code: 
* What Is The Square Footage Of Home? 
* What Type Of Roof Would You Like? 
  Wood Shake
* Do You Know Someone Else Who Needs A New Roof? 
* Why Do You Want A New Roof? 
Password Information
Passwords must be 8 to 20 characters.
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* Confirm Password: 
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Code Verification
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Ugliest Roof Contest

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