BRC SERVICES - Ontario GDRV Rally ONLY Service Request Form

Thank you for requesting RV Service from BRC Services!

Please use this form when requesting RV services at

SPECIAL EVENT

There are no special events at this time

For all other RV service, please visit brcsservices.ca and click the REQUEST SERVICE button at the top right.

Thank you!
Are you attending the SPECIAL EVENT? (There are no special events at this time)

YesNo. Please visit BRCServices.ca and complete the SERVICE REQUEST form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number
Your Address

Street Address

Street Address Line 2

Town / CityProvince

Postal Code
What is your arrival date?
What is your departure date?
If you know your site number / area location, please enter it here.
Type of RV*

Class AClass BClass C5th WheelTravel TrailerTruck CamperPop-upOther
Manufacturer: *
Year: *
Make: *
Model: *
VIN #:*
Select an issue:

RV CheckupAppliances – Please complete section belowElectrical – Battery, Converter, Shore Power, Generator, etc.Exterior – Awning, Slide Topper, Slide-Out Rooms, Steps, Roof etc.Jacks & LevellingPlumbingRoof InspectionRV Orientation and Best PracticesOther
If Appliance related, please indicate the appliance type and the related information

FurnaceRefrigeratorWater HeaterAir ConditionerHydronic HeatingOven / StoveWasher / DryerThermostatOther
Appliance Information:
Manufacturer
Model Number
Serial Number
Please describe the situation you need service for:
Has anyone else worked on this issue?

Yes (Please describe below)No
If yes, what was the result?

I acknowledge that I have read the above IMPORTANT INFORMATION and understand the BRC Services hourly rates and on-site trip fees.*

Yes
How did you hear about us?

Google SearchWebsiteFacebookInstagramTruck AdvertisingReferralOther
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