Rocky Fork Company, P.O. Box 513, 11231 Johnstown Road, 
         New Albany, Ohio 43054-0513 
           614-855-7722 Phone, 614-855-7724 Fax

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FENCE INQUIRY REQUEST FORM

Please take a few moments and complete the following information and one of our professional sales representatives will contact you regarding your fencing needs.

CONTACT INFORMATION

Full Name             

Street Address         Apt/Suite #       

City                              State     Zip Code    

Is this address a      Home    Business

Email Address       

Phone Number         Home    Business    Cellular/Pager    Fax

Alt. Number               Home    Business    Cellular/Pager    Fax

How do you want to be contacted?          What time of day is best to reach you?

FENCE INFORMATION

How did you hear about the Rocky Fork Company?   

The type of fence are you interested in:    Wood    Vinyl    Chain link    Aluminum    Other

The style of fence are you interested in:    Board     Picket    Privacy    Split-Rail    Other

Do you know the measurements?    Yes    No      If so, please list your measurement feet

Do you have a time frame for your fence project?    Yes    No       If so, when?   

Thank you for your interest in the Rocky Fork Company.  A sales representative will be contacting you as soon as possible.  If you would like to follow-up on this information, please contact our office at (614) 855-7722.