E-SERVICE REQUEST

Please fill out the following form to schedule your service request. Your request will be processed and an email confirmation will be sent to you to confirm your request has been received. To apply for a new service, you must come in person to our main office located at 25 Hand Avenue. Service requests are only checked during regular business hours. In case of an emergency, please call 251-580-1626 immediately or 251-580-2559 if outside of business hours.

SERVICE REQUESTED

*Fee(s) may apply.