Service Request

First Name

Last Name

Home Address

City

Postal Code

Zone Zone *CBRM & Surrounding Area (1)Iverness Area (2)Richmond County (3)Victoria County (4)Antigonish (5)Guysborough County (6)Valley (7)Truro (8)South Shore (9)HRM/Dartmouth (10)

Email Address

Phone Number

Other Phone Number (Optional)

Product Type Product Type Single Tilt/Turn Window Combination Tilt /Turn Window Fixed Window Shape Window Single Inswing Garden Door Single Inswing Lock & Key Garden Door Combination Inswing Garden Door Combination Inswing Lock & Key Garden Door No Post Inswing Garden Door Combination Inswing No Post Lock & key Garden Door Tilt/Slide Garden Door Lock & key Tilt/Slide Garden Door

Complaint Type Complaint Type Seal Failure (moisture between glass panes) Tilt/Turn Window Hardware Tilt/Turn Door Hardware Window won’t close Door won’t close Handle won’t go down Window Tilt N Turn same time Door Tilt N Turn same time Window Air leakage Door Air leakage Window Water leakage Door Water leakage Window Weatherstrip Door Weatherstrip Screen damaged Screen remesh Window Glass Breakage Door Glass Breakage

Order Number

Year of Purchase

Complaint Description Complaint Description