Service Request

Please Type In Full Name

Please Enter Driver (Your) Phone Number

Please add your email address

Please Enter Full VIN Number of the Truck

Please Input Truck Year

Please Enter Truck Make

Please Enter Truck Model

Company Name is Required

Please Input Company Email Address

Please Enter Driver (Your) Phone Number

Company Address is Required

Company's City is Required

Please enter companies state

Please Enter Company Zip Code

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Please Give Us Your Location

Please give the closest cross road or address to your location. This will help us find you faster.

  • Labor Rate is $150/hr with a 2 hour minimum for testing and finding your issue.
  • After 5PM and inclimate weather days its 150/h with a 3 hour minimum 
Service Call Fee(*)
Service Call Fee

Payment Method
Payment Method
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Signature Required

By Signing this form you acknowledged that you know the service call fees and labor fees are final once the service truck shows up on location. You fully agree to and have approved us to service your truck once on location. Sign this legibly as this is a binding legal document

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