Service Request

Please fill out the following form to initiate service and/or repair of your existing signage. A member of the Hightech Signs team will respond promptly. Note that all fields marked with an asterisk (*) below are required.

Contact Information

First Name * . . . . . . . . . .
Last Name * . . . . . . . . . . .
Phone * . . . . . . . . . . . . . . .
Email * . . . . . . . . . . . . . . .

Site Location

Address 1 * . . . . . . . . . . . .
Address 2 . . . . . . . . . . . .
City * . . . . . . . . . . . . . . . . .
State/Province * . . . . . . .
Zip/Postal Code * . . . . . . .

Billing Information

If the billing address is different from the site location,
please enter it below:

Address 1 . . . . . . . . . . . . .
Address 2 . . . . . . . . . . . .
City . . . . . . . . . . . . . . . . .
State/Province . . . . . . . . .
Zip/Postal Code . . . . . . . .

If you use purchase orders, please enter the following:

P.O. Number . . . . . . . . . . .
P.O. Date . . . . . . . . . . . . .

Are photos and/or customer sign-off required for billing
purposes?

photos required . . . . . . .
sign-off required . . . . . .

Description of the Problem

Please describe below what requires servicing:

We take your privacy very seriously. Information that you provide is not shared with any outside parties.