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Sign Service Request - New Customer

Please provide complete contact information and information on the sign which needs repair. Thank you.

Company:
Contact Name:
Street Address:
City:
State:	Postal Code:
Phone:
Your Email:

Do you require a fee schedule prior to initiating a service call? (Check Only if Required) Yes I need a fee schedule.
*Please provide as much information as possible* What type of sign is it? (Check One) Illuminated Individual Letters Illuminated Wall Sign Illuminated Pole Sign Illuminated Ground Sign Electronic Message Unit/Time & Temp
Where is the sign on the building or property? Please describe the problem, including specific letters which are not lighting. How long have you noticed the problem? Is it intermittent? Did it occur after a storm? Is someone available on site to give access to power controls? Who? If not on site, how do we contact this person? Please provide any special billing instructions
Your additional comments please:

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1100 Route 34

Aurora, IL 60503

(800) 667-4864 • (630) 898-5900

(630) 898-6091 FAX

Email

• Vicki Morkert •