Customer Registration

Please complete the form below to register for access to the Roofsavers Customer Portal. Once your registration has been approved, you will receive an email with login instructions.

Business or Client Name is required
Contact Name is required
Invalid Email, proper format "" Email is required
Primary Phone Number is required

I am a ... is required

Username is required
Password is required
Confirm Password is required

>> HINT: The password should be at least seven characters long. To make it stronger, use upper and lower case letters, numbers and symbols like ! " ? $ % ^ & ).
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