Change Order Roofing

Peak Change Order:
Roofing/Gutters

Job #*
Customer Name*
Phone
Email
Property Address*
Street Address Address Line 2 City ZIP / Postal Code
Estimator*
Date*
MM slash DD slash YYYY
We hereby agree to make the change(s) specified below:*
Note: This change order becomes part of and in conformance with the existing contract.
WE AGREE hereby to make the change(s) specified above at this price:*
Previous Contract Amount*
Revised Contract Total*
Authorized Signature (Contractor):*
Date Completed*
MM slash DD slash YYYY
Payment Schedule:
The Owner agrees to pay the Price for the Change Order upon completion.
Method of Payment*
* If a check payment is returned for insufficient funds Owner agrees to pay Contractor a $50 return check fee plus any additional cost or fees incurred by the Contractor.
Credit Card Number
Name of Cardholder as it appears on credit card:
Cardholder Signature
ACCEPTED
The above prices and specifications of this Change Order are satisfactory and are hereby accepted. All work to be performed under the same terms and conditions as specified in original contract unless otherwise stipulated.

I have read, understand, and accept all terms of this agreement.
Homeowner:
Homeowner Signature:*
Signature Date
MM slash DD slash YYYY
Please Note: By initialing I am providing Peak Roofing Contractors Inc. authorization to run my credit card at the completion of my job.*
Email
This field is for validation purposes and should be left unchanged.

Payment Schedule: