New Client Intake

New Client Intake

Please complete this form if needing service or preventative maintenance to an already installed generator. If you have any questions, please contact us here.
Client Information
Name*

First NameLast Name
Organization/Business
Organization/Business Name
Date of Birth*

MonthDayYear
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
Please enter a valid email address.
Address*

Street Address

Address Line 2

CityState

Zip Code

My Products

Service Fee

$1.00

Service Fee 2

$1.00

I authorize Beacon Generators, Inc. to charge my credit card above for any services rendered, including but not limited to warranty calls that do not fall under Generac’s warranty guidelines (firmware updates are not covered) or if the technician determines prior installation of the generator is not up to code and is unsafe to conduct service on (for example, the Generator is not installed at least 5 feet away from any structure opening to prevent carbon monoxide poisoning). I understand that my information will be saved on file for future transactions on my account. NOTE: If the credit card on file is processed, there is a 3% convenience fee.
Please verify that you are human*
Should be Empty:

Client Information