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BREAKING NEWS

Finished
This contest has finished.
  
  
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Registration
 
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: 
 
City: 
 
State: 
 
Postal Code: 
 
* What Is The Square Footage Of Home? 
 
* What Type Of Roof Would You Like? 
  Asphalt
  Composition
  Flat
  Metal
  Wood Shake
  Other
 
* 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.
 
* Password: 
 
* Confirm Password: 
 
Mobile Notifications
 
Enter your mobile phone information to receive occasional reminders and alerts.
 
Mobile Carrier: 
 
Mobile Phone: 
 
  Format: 555-555-5555. Our service is free. Standard text message rates apply.
 
Terms And Conditions
 
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    I accept the terms & conditions.
 
Privacy Policy
 
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Email Options
 
* Email Offers: 
  I give permission to have Dales Roofing or Ozarksfirst.com to contact me via email.
  I DO NOT give permission to have Dales Roofing or Ozarksfirst.com to contact me via email. Please don't give out my email to any other third parties or send me any email other than those that I may have checked elsewhere on this page.
 
Code Verification
 
Please type the following code in the box below it. The field is not case sensitive.
 
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Double check to make sure your information is correct and then hit submit below. Thank you for your participation.
 
 
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Ugliest Roof Contest

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