Builder Service Request Form

Interactive forms coming soon. For now simply select all (control+a) copy (control+c) then paste (control+v) into an email. Answer questions then email form to heatguy@pacifier.com , subject line: "Builder Service Request".

Builder Name:
Project:
Lot Number:
Job Superintendent:
Customer Move In Date:
Customer Name:
Customer Home Phone:
Customer Work Phone:
Customer Cell Phone:
Customer E-mail:
Customer Street address:
Is service need per inspection, warranty or other?
Appliance needing service:
What is the brand name of the appliance?
On what date was appliance installed?

All labor performed at time of original installation of appliance is warranted for one year. Parts warranties are subject to individual brands. Customer may be liable for labor and trip charge if warranty has been voided.