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Service Request Form

    

Call Today!

  
     
 

B&R Service, Inc. is now scheduling service online. This new system provides convenience, flexibility, and a quick response. B&R Service, Inc. is one of the few service companies in this industry to offer its customers the freedom to schedule appointments online 24 hours a day... just one more example of how we are committed to 100% Customer Satisfaction. Thanks for choosing B&R Service, Inc.

Please fill out and submit the form below and one of our representatives will contact you shortly, Monday-Friday, 8:00am to 5:00pm.

Outside of these hours, we will respond to you first thing the next morning.
     
Appointment For
    
First name
*  
Last Name
  *  
Address
 
*
 
City
   *  
State
    
Zip Code
   
   
Email
   *  
     
How did you hear about us?
    
     
Home Phone
    
Cell Phone
    
Work Phone
    
I'm requesting an appointment for
    
       
Best time and day to
schedule your service
  

1st Choice for Appointment Time


2nd Choice for Appointment Time


  
       
Please describe your needs
    
  * = Required Field  
     


 
800-672-2520

Wilkes
Ashe
Alleghany
Surry
Yadkin
Iredell
Alexander
Caldwell
Watauga
Avery
A company your family can trust!
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