Service Request

Please complete and submit to request service to your appliance or chimney.

First Name*

Last Name*

Email Address*

Phone Number*

Street Address*

City*

State*

Zip Code*

Make and Model of Unit*

When was the last cleaning/service?*

Best Days and Times for Appointments*

Type of Service Needed

Cleaning Troubleshooting/Service Warranty

Type of Fuel

Coal Wood Pellet LP Gas Natural Gas Electric Oil Other

Type of Unit

Freestanding Stove Fireplace Insert Vented Log Set Vent Free Log Set Fireplace

Unit Venting

Thru Wall Up Chimney Thru Roof Dog Box Other

Venting Reached

By Roof By Ladder

How many stories is the chimney/house?*

Roof Pitch

Steep Walkable

Roof Material

Ashpalt Shingles Slate Sheet Metal Wood

Disclaimer 1

For your saftey and ours - if the technician gets to your home and determines that your system does not meet basic, standard code- we will be unable to provide service at that time. We can suggest improvements for bringing your system up to code at your request.

I Accept Disclaimer 1

Yes No

Disclaimer 2

If the system does not meet code there will be a basic service charge for that visit. $80 Plus applicable Distance Charges.

I Accpet Disclaimer 2

Yes No

Terms of Service

Terms and Limitations: 1) Rates are based on typical amount of time to complete such service. Extended labor time will be billed at $60/hour/technician. 2) All services start with an inspection. 3) If determined to be necessary to power clean a chimney at initial inspection, servicemen will prepare chimney for drying out of creosote and note that chimney cleaning will need to be rescheduled in August 2011. Customer will be billed $80 minimum charge plus mileage charge if applicable.

Terms of Service

I've read the terms of service
I understand there's a $20 travel fee if my location is 25-40 miles from AN AES Hearthplace Location. For distances greater than 40 miles add $40.

If You Have 2 units or more that need serviced on the same day, please list makes, models, fuel type, and type of service here.

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