To Request an On Demand Service Call Online

Please complete the fields below and a work order will be generated and immediately placed in the service queue.

Requestor's Name*

Requestor's Email Address*

Requestor's Phone Number*

Company Name Used for Billing*

Billing Street Address or PO Box*

Billing City, State & Zip*

Business Name at Service Location*

Service Location Street Address or PO Box*

Service Location City, State & Zip*

Name of Contact at Service Location

Location Contact Phone Number

Select Type(s) of Service Requested*
Lighted Sign Repair/Service
Parking Lot Lighting Repair/Service
Exterior Building Lighting Repair/Service
Interior Building Lighting Repair/Service

Description of Lighting Problems at Location

Special Instructions for Service Tech

NOTE: All fields marked with an * must be completed in order to process your service request.

Additional Information

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To Request an On Demand Service Call Online