Service Request Form

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Patrick's Plumbing and Heating, Inc.

Please see our Privacy Policy at https://up-hvac.com/privacy-policy

We do not sell or share any SMS opt-in, or phone numbers for the purpose of SMS

Name *

Please provide your mobile number so we can contact you via phone or text regarding your service request. If you do not wish to receive text messages, do not check the SMS consent option below.

SMS Consent

I agree to receive SMS messages from Patrick’s Plumbing and Heating related to my service request, including scheduling, estimates, and billing updates. Message frequency may vary. Message and data rates may apply. Reply STOP to opt out at any time. Reply HELP if you need help.

Secondary Phone Number

Address *

City *

Billing Address
*If different from above

What are you looking to get done?

How will you pay at the time of service? *

Cash

Check

Card

Do you have any photos? Please email them to patrick@up-hvac.com or text them to us at (906)-482-0139

Yes, I have sent photos

Thank you for filling out our Service Request Form. We will get back to you as soon as possible.

By submitting this form, you consent to be contacted by Patrick’s Plumbing and Heating regarding your service request. If you opted into SMS updates, you may receive text messages related to scheduling, estimates, or billing. Message frequency may vary. Message & data rates may apply.

We respect your privacy and do not sell or share your personal information. View our Privacy Policy at https://up-hvac.com/privacy-policy

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