SERVICE REQUEST
In the event of an emergency, please call (608) 524-3030
 


PERSONAL INFORMATION
 

Name  

Address  
City  
State  
Zip  
Home Phone  
Work Phone  
Cel Phone  
 

SERVICE CALL INFORMATION
 

Explain Problem  
Make/Model of Equipment  
Best Time to Call  

Service Address if  
different from above  
 

FREE QUOTE INFORMATION
 

Equipment you would  
like a quote on  
New Construction  
Replacement  
Adding On  
Best Time to Call  
 

TO SIGN UP FOR A MAINTENANCE AGREEMENT

Equipment to be placed on agreement (check all that apply)
 

A/C Unit  
Furnace  
Humidifier  
CleanEffects Air Cleaner  
Heat Pump  
   
Spring
Fall
Both Spring & Fall
 

Statz Mechanical, LLC respects your privacy.
Your information is for the sole use of Statz Mechanical.
Your information will not be shared, sold, or distributed to outside parties.

 




FINANCING ONLY AVAILABLE TO RESIDENTS IN THE STATE OF WISCONSIN

 
Statz Mechanical, LLC  .  S5968 Rock Elm Rd  .  Rock Springs, WI 53961
Phone: (608) 524-3030  .  Fax: (608) 524-0580