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530-801-5278
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First Name*
Last Name*
Email*
Phone*
Preferred Contact Method*
Select Preferred Contact Method
Email
Text
Phone
RV Location Type*
Select RV Location Type
Residential
Campground
Storage Yard
Commercial/Business
Other
RV Service Location Address*
Click if your Mailing Address is different from the RV Service Location Address
Enter Year/ Make/ Model of RV*
Responsible Billing Party*
Self Pay
Insurance Pay
Extended Warranty
Is this an emergency?*
Yes
No
Check all issues that apply:
Absorption Refrigerator
Air Conditioner/Heat Pump
Awning
Batteries
Electrical
Furnace
Generator
Leveling System
Maintenance
Plumbing
Solar
Slideouts
Water Heater
Water Pump
Vent Systems
New Owner RV Orientation
Other
Describe Your Issue*
Be as detailed as possible. Include any error codes, sounds, smells, or other symptoms.
How did you hear about us?*
How did you hear about us?
Returning Customer
Google
Campground
Local RV Shop
Business Card
Flyer
RV Storage Business
Saw You Driving
Saw Tech on Job
Friend
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Other
Are you a returning client?*
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