RH Tinney - Service Request Form

Order Form

Our service technicians are available for both scheduled maintenance and emergency work.

Please complete the form below and submit it to us. We will get back to you by the next business day.

*Please give your name and company information:*
Company Name
Contact
Address Include city, state and zip
Phone
Fax
Email Address
You Are:	Contractor Owner
	Property Manager Tenant
	Other
Preferred Method to Contact You: Email Phone Fax

*If the work is to be performed at a different location, please complete the following:*
Company(where is to be performed)
Address Include city, state and zip
Phone
Who responsible for payment

A Brief Description of the Service Needed
Check this box if you would like to receive regular updates and information regarding RH Tinney services.