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Schedule Service

Please complete this form to request a service call appointment.  If you know what’s wrong with the door please choose one of the drop down options or describe the problem in the notes.  Once the form is submitted, a friendly Kirby’s Door Service representative will contact you within 60 minutes during normal business hours by telephone or email to confirm your appointment.

*First Name:
Last Name:
*E-Mail:	Please Enter E-Mail.Invalid format.
*Phone Number:	Please Enter Phone Number 555-555-5555.
Address:
City:
Zip Code:	A zip code is required.Invalid zip code.
Service Date:	Today Tomorrow This Week Next Week Two or more weeks
Service Time:	Morning 8 a.m. - 11 a.m. Afternoon 11 a.m. - 3 p.m. Evening 3 p.m. - 6 p.m. 24 Hour Emergency Service
What's wrong with your door?	Safety Check/Lube n' Tune Broken Springs Opener Repair Door Won't Open Cable Broker or "Off"
Notes:

*Your inquiry will be responded to within 60 minutes during normal working hours.  (Monday – Friday 8 a.m. – 6 p.m.) On weekends, nights and holidays an on call representative will contact you at their earliest convenience.