Service Request Form
A service coordinator will respond no later than the next business day.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How do you prefer to be contacted?
*
Phone Call
Email
Text
What equipment do you need help with?
Please Select
Wood Fireplace
Wood Stove
Direct-vent Gas Fireplace/Insert
Ventless Gas Fireplace/Insert
Gas Log Set
Grills
Electric Fireplace
Manufacturer and Model (if known)
What services do you need?
*
Submit
Should be Empty: