(914) 633-3535          
     

Order Service 

   /     Employment      
  Pricing Info Service Agreements   Contact Info   Photo Gallery   Customer Feedback   Links
 

 


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


We Check Our Online Service Requests
On Regular Business Hours.
If You have An Emergency Or Need Service ASAP...
Please Call (914) 633-3535    24 Hours A Day.


On-line service requests are scheduled on the First Available Business Day. A Customer Service representative will call to confirm your requested Date & Time slot. Should the Requested Date & Time slot not be available they will offer the next closest appointment during our regular business hours.


Service Requested By:

Select One:
First Name:
Last Name:
Select One: Homeowner
Business owner
Owner's authorized agent
Tenant
Company:
Street Address:
(Address where work will be performed)
City:
State:
Zip Code:
Telephone:
Cell Phone:
Pager Number:
E-Mail:
Do you have a
Service Agreement?

Brief description of service needed:


Date and time of service requested:

Day
Month
Date
Year
Note: For evening, night or weekend work, please call (914) 633-3535.
An Emergency Dispatcher will return your call in minutes
Time Preference
Note: Overtime rates apply to calls serviced after 4:30 PM, and after hours service.

Payment & Available Discounts:

Please select the form of payment you plan to use.
Payment is due upon completion of service. 

 

Let us know if you are eligible for any of the following discounts:


Form Submission:

Please complete this form thoroughly. Then review all the information above for accuracy and click on "Submit Service Request" button. Select the "Clear Form" button to start over, if necessary.

 


Copyright 2002-2009 G.C. Reliable Service, Inc. All rights reserved.