Request Service

Form Instructions:

Complete the form below to request a service call. Someone from our office will get back to you by phone or email as soon as possible, (there is no obligation). Please provide us with as much information as possible about the requested rental unit desired.

General Information

Customer Name*

Contact Name*

Address*

Building Number

Room Number

City*

State*

Zip Code*

Contact Information

Phone Number*

Fax Number

Email Address*

Equipment

Description

Manufacture

Model Number

Serial Number

Estes ID

Customer ID

Service

Time Request

Warranty? Yes No Unknown

Problem Description

Request Technician

Notes or Special Instructions

Privacy Policy

The protection of your privacy is important to us at Estes Refrigeration, Inc. Rest assured that the personal information you provide us with will not be disclosed to other parties and will be used solely for the purpose of bringing you the best service possible.