Sierra Pacific Consulting - Job Site Request Form

*Job Name:
*Job Site Contact Name:
*Job Site Phone Number:
Job Site Fax Number:
*Job Site Address:
Address Line 2:
*City:
*Distributor:
*Distributor Phone Number:
*Manufacturer:
Manufacturer's Order # :
Purchase Order # :
Purchase Date:
Description of Problem:
Sierra Pacific Sales & Consulting requires payment in advance with a three-hour minimum at the rate of $85 per hour. Payment for additional time also will be due in advance and billed at the rate of $85 per hour. 100% of all warranty-related work will be refunded. To pay for these services, click on the PayPal link that will be provided after you submit this form.
*Requested By:
*Company:
*Contact Name:
*Contact Phone Number: