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		Office: (231) 947-0100 Fax: (231) 947-5275

Service Request Form

First Name:		Last Name:
Telephone:		Alt Phone:
Email:
Job Address:
Billing Address:
Type of Problem:
Level of Urgency:

If "other" (please specify):
Who may we thank for referring you to our services?
We will contact you as soon as possible based on the level of urgency and we will be happy to discuss this situation and any other concerns that we might be able to help you with. Do you know of someone who lives in a home that is 12 years old or older? They may be at risk of having a very cold night this winter and would appreciate a furnace clean and check to avoid that from happening. We would be happy to contact them. Please type in their name and telephone number, and if during our call they schedule an appointment with us for a clean and check then you will receive 15% off your service bill.
Name:
Telephone:
We continue to grow based on your trust and we appreciate your confidence in our company by recommending us to your friends and neighbors.

Precision Plumbing and Heating -- Serving Grand Traverse, Leelanau, Benzie and Antrim Counties