BUILDER AND DEALER SERVICE REQUEST FORM Step 1 of 2 - Contact Info 0% Contact InfoI am a dealer or builder (select one)*BuilderDealerBusiness Name* Requestor’s name* Phone Number**Select *HomeMobileBusinessPhone Number 2 (Additional)SelectHomeMobileBusinessPhone Number 3 (Additional)SelectHomeMobileBusinessEmail Address* Home Owner InformationFull Name of Homeowner or Site Contact* Phone NumberAddress of Home (no p.o. boxes)* City* Province* Postal Code* Contact Info Project Details Success Project DetailsThe more information provided will ensure we can process your request as quickly as possible.Under Construction?* Yes No Occupied?* Yes No Product Installed?* Yes No Possession Date if applicable (MM/YY) Chargeable?* Yes No PO# Order/Quote# Line # Room Location(s) HiddenUpload AttachmentAccepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 50 MB.Providing photographs, will help us understand your issue and will help ensure a faster diagnostic and response.Upload AttachmentProviding photographs, will help us understand your issue and will help ensure a faster diagnostic and response. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 50 MB. Description of Service NeededAdditional InformationWe care about the safety of our customers and employees. Please identify any safety concerns we should be aware of as this can help ensure your service appointment goes smoothly. (i.e. second story, steep slope, furniture restricting access, basement walkout, etc.)Safety & Access ConcernsCAPTCHA Click the arrows below to scroll through reference imagery.