Fall Annual Service Request Form

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Yes, I prefer texting over calling!

Email*

example@example.com

Unit Information*

MyerstownMountville

Pickup & DeliveryCustomer Drop Off

I understand and agree that by submitting this form, I am authorizing Ebling’s Service Plus to proceed with the service package for my listed unit(s). If any major additional work is required, we will provide an estimate before moving forward. We’ll also reach out when we’re ready to schedule your equipment.

To make the most of our service package discounts, please ensure your equipment is at our shop within two weeks of our initial scheduling call, and pick it up within two weeks of service completion. Thank you for your understanding and cooperation with our schedule, workflow, and limited space. We will work efficiently to complete the repairs and ensure a timely pickup.