Please fill out the form below completely so that we may schedule a service visit from one of our technicians. We look forward to providing you with excellent service.

About You
Your First Name (required):
Your Last Name (required):
Address for Service (required):
Any apt or suite number?
City	:—BeavertonClackamasDamascusFairviewGladstoneLake OswegoMaywood ParkMilwaukieOregon CityPortlandTigardTroutdaleTualatinVancouverWest LinnWilsonvilleWood Village
Zip Code (required):
Day Phone: (required):
Evening Phone:
Your Email (required)
Are you a Diamond Club Member?	Preferred method of contact:
YesNo	AnyDay PhoneEvening PhoneEmail
Information about the service call:
Preferred Date for Service Call (required):
Preferred Time (required): ex. 01:30 PM or (between 1:00 and 2:00 pm)
Alternative Day (required):
Alternative Time (required):
Basic Description of Issue (ex: kitchen lighting, need generator, etc.)
Reason for Appointment: