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    • Next Available Date For Standard Service is Thursday 8/21/25. We do have Emergency Services Available.Fill out this form to receive your $25 coupon off of your plumbing work. Not valid with existing or previous completed work.

      (Please continue to fill out this form to help expedite the call)
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    • Are you one of our Ultimate Service Agreement Holders (priority service at discount value pricing)*

    • How did you hear about us? (Select all that apply)*

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    • Do you live at this property
    • Ultimate Savings Agreement Minimum site visit charge based on the preferred time you would like us to be on the job-site. Cost of the repair will be quoted before work is performed and added to price below. (Service Agreement Holders will get special discounts off pricing below as well as the work provided.)*
    • Minimum site visit charge based on the preferred time you would like us to be on the job-site. Cost of the repair will be quoted before work is performed and added to price below. (Service Agreement Holders will get special discounts off pricing below as well as the work provided.)*
    • Preferred Date you would need this work to be completed by. (Leave blank if no urgency)
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    • Preferred Date for work to be done*
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    • Preferred Date for work to be done M-F*
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    •  :
    • 1. Preferred time to be on the job site.
    • 2. Preferred time to be on the job site.
    • How much time would you need to know that a Technician is on his way.*

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    • Can we text you to this number?
    • Preferred Method of Payment. All work is to be paid at substantial completion. Larger Project may require a down payment. (check all that may apply)*

    • Main Issue(s) (check all that apply)

    • Heater Situation

    • Type of Water Heater you have now (check all that apply)

    • Manufacture of existing water heater

    • Do you have a water softener?

    • Do you have a whole house carbon filter

    • Is your water heater under manufactures warranty?

    • Approx Age of Water Heater

    • Water Heater Status (check all that apply)

    • Sense of Urgency

    • Water Heater Removal (check all that apply)

    • Water Heater Location (check all that apply)

    • How accessible is the Water Heater (pathway to remove existing heater)

    • Location of nearest floor drain

    • Type of Water Heater you would like installed

    • Preferred Manufacture of Replacement Water Heater (check all that apply)

    • Optional Water Heater Accessories (Check what you may be interested in)

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    • How long has this issue been going on?*

    • Is this causing major damage?*

    • Approximately how old is the property?

    • How long have you lived at this property?

    • Do you have any plans of moving out or selling this property?

    • Are there any future kitchen or bathroom remodeling or upgrading projects that you may be considering in the near future?*

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    • Thank you for your time.  We look forward to serving you

      Sincerely,

      All of the team at Oak Creek Plumbing Kitchen & Bath

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