Next Day Service Call
Attn: All Internet Service calls are next day or later only. Internet Service calls will be checked daily at 8:00am and 5:00pm. Any calls after the 8:00am cutoff will be scheduled the following day. If you need Same day service or if this is an emergency you will need to call by phone.

Name:
Address:
City:
State:
Zip code:
Home Phone #:
Work Phone #:

A Customer Service Representative (CSR) will be calling you to confirm your Service Call.
Where can you be reached?

Home Phone
Work Phone
Cell phone/Other

When would you like us out?

What are you having problems with?

Appliance
Plumbing
Heating
Cooling
Electrical

Please give us a brief description of the problem.

What time range would best suit you?

Call & Meet means we call you at work, on your cell phone, or pager. This enables you to go about your daily activities and not spend your valuable time sitting around the house waiting for someone to show up.

If Call & Meet approximately how long does it take to get home?

How did you hear about A-1?

Seen Trucks
TV
Radio
News Paper
Referral from a friend
Yellow Pages, If so what is the page #?

How will you be paying?

Check
Cash
Credit Card   

Thank you for choosing A-1 a CSR will call to confirm your Service Call.
© 2004 APHCE Inc.  1436 SW Gary Ormsby Drive Wakarusa, KS 66546