Paraclete Fire & Safety Inc.
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Service / Quote request
To request for service or quote, please fill out the required fields below. Once your request has been processed we will contact you to go over your service options and then schedule a date / time to perform your service. If you need immediate assistance contact us at
(714) 577-5779
and we will be happy to assist you.
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Enter Contact Information:
Are you a new or existing customer?
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New Customer
Existing Customer
Company / Business Name:
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Restaurant / Store # (If Applicable):
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Service Address:
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Line 1
Line 2
City
State
Zip Code
Country
Primary Contact Name:
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First
Last
Primary Email Address:
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Primary Phone Number:
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Primary Mobile:
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Secondary Contact Name:
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First
Last
If Applicable
Secondary Email Address:
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Secondary Phone Number:
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Secondary Mobile:
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Enter Service Information:
Request Type:
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Maintenance Inspection / Service
Quote / Estimate
New Installation
Service Type:
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Portable Fire Extinguisher
Restaurant Fire Suppression System
Hood & Duct Cleaning
Fire Sprinkler
Other: Specify in Description
Select one or more services that you are requesting
Type of Service Requested / Description:
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Service Frequency:
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Once Only
Daily
Weekly
Monthly
Semi-Annually (6 Months)
Annually (1 Year)
Preferred Week Day:
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Any Week Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Time of Day:
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Anytime
Early Morning (5:00am-8:00am)
Morning (9:00am-12:00pm)
Afternoon (1:00pm-5:00pm
Evening (6:00pm-9;00pm)
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Please Note
:
Preferred weekdays and times of day are for scheduling purposes only. Days and times are not guaranteed and may vary. If you need immediate assistance, please call
(714) 577-5779
and we will be happy to assist you.
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