Schedule Chimney Service

Name *

First Name

Last Name

Phone

(###)

###

####

Mobile Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you a new customer? *

Yes

No

Please select which services you are interested in: *

Sweeping/Inspection

Masonry

Lining

Other (e.g. Chimney cap, prefab, etc.)

What appliance is venting in the flue?

Woodstove

Fireplace

Oil Burner

Gas Burner

Gas Stove

Woodstove Insert

Fireplace Insert

Dryer Vent

Pellet Stove

Pellet Insert

Other

Would you like to be updated via text messages? *

Yes, send me text messages

No

Are you the property owner at the service address?

Yes

No