Vandermeulen Plumbing - Request Service

Request Service

Do not use this form for emergencies. If you require immediate assistance please call 705-742-3433.

Required fields are marked with .

Customer Information

Name
Phone Number
Alternate Phone
Email Address

Service Address

Street Address
City
Province
Postal Code

Mailing Address (If different from above)

Street Address
City
Province
Postal Code

Nature of Service Request

Please explain the nature of your service request

Preferences for Service Appointment

Prefered Days
1. Monday
2. Tuesday
3. Wednesday
4. Thursday
5. Friday
Prefered Times
1. 8 am - 10 am
2. 10 am - 12 pm
3. 12 pm - 2 pm
4. 2 pm - 5 pm
Prefered Contact Method