Request Service

Thank you for requesting a Giles Service Call!

Please complete the form below in it's entirety and if applicable, attach any documentation associated with your request (PDF format preferred). You will receive a confirmation page upon successfully submitting your request, and a Giles Representative will respond within one business day. We thank you again for your business!

FOR EMERGENCY'S PLEASE CALL 386.767.5895.

IF YOU ARE IN A HURRY, ONLY ( * ) FIELDS ARE REQUIRED, you can skip the rest for now.

Name:*
First Last
Email Address:*
Contact Person: (if other than yourself)
First Last
Primary Phone:*
Alternate Phone:
Mobile Phone:
Preferred Contact Method:*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Description of Problem/Work Required:
Date of Work Required:
Any special material or equipment needed?
- Yes
- No
Explain special material or equipment needed:
Additional Billing Info:
Method of Payment:
- COD
- CHECK
- VISA/MC
- BILL CUSTOMER
- CASH
Upload Service Request Documents
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Thank you for requesting a Giles Service Call!

Request Service Form