Service Call Request Name(Required) First Last Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Did you have an estimate for the requested service?(Required) Yes, I have received an estimate No, I don't have an estimate Estimate Number (if applicable)Would you like to get lightning fast service and save 10% discount on labor of $99 per hour? We will come out on our own route without home owner present. (Any warranty related items will be assessed at time of arrival.)(Required) Yes, save me money I don't need to be present at the service appt and you can come anytime No, I would like to be present during the service appt and want to pay full price Consent(Required) I consent to charges up to $300 before being consulted by the technician (any charges over $300 will be asked permission before service is completed) Any items under warranty will be assessed at the time of our technicians arrival.Service Call Type?(Required) Customer already has a detailed estimate Adjust Heads Valve Stuck On 1 Small Leak Several Leaks Zone Not Working Controller Not Working Rain Sensor Not Working Other Provide Estimate Number If AvailablePlease explain the issue that your are having(Required)How will you mark this issue?(Required) I will mark issue with a flag or something visible I will upload a photo of the issue Other Please explain how you will mark the issue or add any additional comments(Required)File(Required)Max. file size: 5 MB.I agree to receive text message updates about my order By submitting, you agree to receive text messages at the provided number from River Cities Systems. Message frequency varies, and standard message and data rates may apply. You have the right to OPT-OUT receiving messages at any time. To OPT-OUT, reply "STOP" to any text message you receive from us. Reply HELP for assistance.Service Call Δ
