Request Service
In emergencies please contact us at (505) 325-4505 this form is not checked outside of normal business hours and could result in delayed service.
Personal info
Name *
Your answer
Company Name
Name of your company if this request is for a business
Your answer
Phone Number *
Your answer
Email Address
Your answer
How did you hear about us? *
Description of Problem *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Farmington Heating & Metal and Subsidiaries.