Request Service

Notice

A PO (purchase order) is REQUIRED before dispatch
A minimum of 8 hours work
Stand-By-Rates will be at work rates
All meals, hotel, misc. will be at actual cost
All airfare, car rental, and public transportation will be at actual cost
All rates are subject to change without notice
An invoice will be sent to you at the end of the month following the completion of your project
We reserve the right to request payment in advance

Thank You!

Work Rates	Rate Coverage
$80.00/hour	Monday - Friday Up to 8 hours
$100.00/hour	Monday - Friday Over 8 hours All Saturday Work
$150.00/hour	All Work on Sundays All Holiday Work

Travel Rates	Travel Coverage
$50.00/hour	To/From Jobsite Monday -Saturday
$75.00/hour	To/From Jobsite Sundays & Holidays
$0.68/mile	Mileage to/from jobsite

Please fill out the following form, and we will contact you regarding your request.
If you would like to fax this form, please click here and fax it to 1-423-867-9761.

* Note: Fields with asterisks are required.

Today's Date

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Company(*)

Please provide your company name.

Name(*)

Please provide the contact name.

Title

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Address(*)

Please provide your address.

City(*)

Please provide your city.

State or Province(*)

Please provide you state or province.

Zip or Postal Code(*)

Please provide your zip or postal code.

PO#

Please provide a PO number

PO Authorized By:

Please provide the name of person authorizing the PO.

Phone Number(*)

Please provide a phone number.

Mobile/Cell Number

Please provide a mobile or cell number.

Your Email(*)

Please provide your email address.

Date Requested(*)

Please select a date to start work.

Service Requested(*)

Please provide details of the work to be completed.

Please enter code:(*)

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