Automatic Door Authority Service Request

Automatic Door Authority

Request for Service
Please feel free to use the form below to request Regular Service. Our office will enter all requests between 7am-4pm CST Monday-Friday.

Emergency service requests must be phoned in. (Tech will be onsite within 4 hours) This is for service outside normal hours and will be billed at overtime rates with a 4 hour minimum charge.

EMERGENCY SERVICE please CALL 1-312-877-1914 anytime 24/7.
Requestors Information
Current Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Time

Hour Minutes

AM/PM Option
Contact Person

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Property Information
Company Name
Service Location

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Billing Information
Company Name
Billing Address same as Property Address
Billing address only fill out if

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Product Details
Select Door Type
Description of the Problem
Door ID# (Located on a sticker on the top of the jamb, on the underside of the header, or inside the header)
Additional Information
Not to Exceed without Approval
Contact for Approval

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Purchase Order Number
Is there anything else we should know about your door?
Should be Empty:

Automatic Door Authority