Work Order Request

If this is an emergency call, please call the main phone# (877) 379-9600 or fax# (866) 379-9600

Name*
Company*
Service Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Will the Service Address be the same as the Billing Address?*
Phone*
Email*
I have read the Terms and Conditions for COMRES, Inc. Select "yes" in the box to the right*
Description of the problem or request
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