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Impact windows offer valuable protection against hurricanes and windborne debris. Requirements depend on your home’s location, applicable building codes, and project details. Our team will review your options during your free assessment.

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<div id="est-phone-number"></div>
<style>
  .estimate-form-inner-wrapper {
    display: flex;
    flex-direction: column;
    gap: 16px;
    margin-bottom: 0px !important;
  }

  .estimate-form-input-grid {
    display: grid;
    align-items: initial;
    grid-template-columns: 1fr 1fr;
    grid-gap: 16px;
  }

  .estimate-form-input-wrapper {
    display: flex;
    flex-direction: column;
    justify-content: flex-end;
  }

  .estimate-form-input-wrapper p {
    font-family: Inter;
    font-size: 14px;
    font-weight: 500;
    line-height: 21px;
    color: black;
    margin-bottom: 4px;
  }
  .estimate-form-input-wrapper span {
    color: red;
  }

  .estimate-form-input-wrapper input {
    padding: 8px 16px;
    border-radius: 4px;
    border: 0.5px solid rgba(163, 163, 163, 0.5);
    color: black;
    font-family: Inter;
    font-size: 16px;
    font-weight: 500;
    line-height: 24px;
  }

  .estimate-form-input-wrapper input::placeholder {
    color: #a3a3a3;
    font-family: Inter;
    font-size: 16px;
    font-weight: 500;
    line-height: 24px;
  }

  .estimate-submit-btn {
    padding: 12px 28px !important;
    border-radius: 999px !important;
    background-color: #043968 !important;
    background-color: var(--bricks-color-fvnfur)!important;
    font-size: 16px !important;
    font-weight: 700 !important;
    line-height: 24px !important;
    color: #ffffff !important;
    text-transform: uppercase !important;
    align-self: flex-start !important;
    transition: all 0.3s ease !important;
    cursor: pointer !important;
  }

  .estimate-submit-btn:hover {
    background-color: var(--bricks-color-ykxnnf) !important;
    color: white !important;
  }

  .wpcf7-form input[type="submit"].custom-estimate-submit-btn {
    padding: 12px 16px !important;
    border-radius: 8px !important;
    background-color: #043968 !important;
    font-family: "Filson pro" !important;
    font-size: 16px !important;
    font-weight: 700 !important;
    line-height: 24px !important;
    color: #95c93d !important;
    text-transform: uppercase !important;
    align-self: flex-start !important;
    transition: all 0.3s ease !important;
    cursor: pointer !important;
  }

  .wpcf7-form input[type="submit"].custom-estimate-submit-btn:hover {
    background-color: #7eb4a3 !important;
    color: white !important;
  }

  @media only screen and (max-width: 990px) {
    .estimate-form-wrapper {
      grid-template-columns: 1fr;
      grid-gap: 64px;
    }
  }

  @media only screen and (max-width: 477px) {
    .estimate-form-input-grid {
      grid-template-columns: 1fr;
    }
  }
</style>

<form method="post" class="estimate-form-inner-wrapper" id="seviceminder-form">
  <div class="estimate-form-input-grid">
    <div class="estimate-form-input-wrapper">
      <p>Name <span>*</span></p>
      <input
        type="text"
        id="name"
        name="Name"
        required
        placeholder="First Name"
      />
    </div>
    <div class="estimate-form-input-wrapper">
      <input type="text" name="lName" id="lName" placeholder="Last Name" />
    </div>
  </div>
  <div class="estimate-form-input-grid">
    <div class="estimate-form-input-wrapper">
      <p>Email <span>*</span></p>
      <input
        type="email"
        id="email"
    		name="Email"
        required
        placeholder="Enter Email"
      />
    </div>
    <div class="estimate-form-input-wrapper">
      <p>Phone Number <span>*</span></p>
      <input type="tel" id="phone" name="Phone1" maxLength=14 placeholder="Enter phone number" required/>
    </div>
  </div>
  <div class="estimate-form-input-grid">
    <div class="estimate-form-input-wrapper">
      <p>Address line 1</p>
      <input type="text" id="address1"
    name="Address1" />
    </div>
		<div class="estimate-form-input-wrapper">
      <p>Address line 2</p>
      <input type="text" id="address2"
    name="Address2" />
    </div>    
  </div>
  <div class="estimate-form-input-grid">
    <div class="estimate-form-input-wrapper">
      <p>City</p>
      <input type="text" aria-required="true"
        aria-invalid="false"
        id="city"
        name="City" />
    </div>
    <div class="estimate-form-input-wrapper">
      <p>State</p>
      <input type="text" aria-required="true"
      aria-invalid="false"
      id="state"
      name="State" />
    </div>
  </div>
  <div class="estimate-form-input-grid">
    <div class="estimate-form-input-wrapper">
      <p>Zip Code <span>*</span></p>
      <input type="text" id="postalcode"
      name="PostalCode" required />
    </div>
    <div class="estimate-form-input-wrapper">
    <input type="hidden" name="key" id="serviceminder-key" />
  </div>
  </div>
  <input
      type="hidden"
      id="RedirectUrlPopup"
      name="RedirectUrl"
    />
  <button type="submit" class="estimate-submit-btn" id="serviceminder-submit">
    Submit
  </button>
</form>

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