INDICATE YOUR PREFERENCES FOR SCHEDULING AN APPOINTMENT ONLINE.
(We will contact you to confirm the date.)

Please fill in the form below:
Required Feilds •

•Name:
•Street:
•City:
•Zip Code:
•Home Phone:
Cell Phone:
•Email:

Check the services in which you are intrested:

	Fireplace cleaning		Lining of fireplace or furnace chimney
	Dryer exhaust cleaning		Protective chimney covers and bird screens
	Firebox repairs for masonry and prefab fireplaces		Rebuild of the chimney
	Mortar or brick repairs on chimney		Visual safety inspection
	Smoke problems		Blockages removal
	Furnace flue and water heater flue cleaning		Other, please explain:

Check a convenient day and time for an appointment:

First Choice

	Monday		AM
	Tuesday		PM
	Wednesday
	Thursday
	Friday
	Saturday

Second Choice

	Monday		AM
	Tuesday		PM
	Wednesday
	Thursday
	Friday
	Saturday

Check a convenient month:

	January		July
	Febuary		August
	March		September
	April		October
	May		November
	June		December

Best time and day to to confirm your appointment: