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312-638-9878
Home
Services
FAQ’s
About
Schedule a Test
Contact
Open Positions
MONDAY - FRIDAY
8:00 AM - 5:00 PM
312-638-9878
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APPROVED DEVICES
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About
Schedule a Test
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Open Positions
SCHEDULE A BACKFLOW TEST
Please fill out the form below and we will contact you to set up a time for one of our Technicians to come and Test your Backflow Assembly. You may also contact us by phone to setup your test at (312) 638-9878.
CID #
Enter your CID# (Customer Identification Number) located at the top right corner of your letter.
CCN # or Hazard ID
Often provided by your City or Village.
Name:
*
First
Last
Commercial or Residential Property:
*
Commercial
Residential
Company or Business Name:
*
For Scheduling: Please provide your normal weekday Business Hours of Operation, so that one of our technicians can gain access to the property, to preform testing.
Opening Time:
*
:
Hours
Minutes
AM
PM
Closing Time:
*
:
Hours
Minutes
AM
PM
Residential Irrigation?
*
Yes
No
Not Sure?
Device Location?
*
Inside Residence
Outside Residence
Not Sure?
Please choose the earliest date that you or your Irrigation Company will have the Backflow installed and water turned on by.
*
MM slash DD slash YYYY
The best way to contact me by phone is:
*
My Mobile #
Home #
Work / Business #
Phone:
*
Address:
*
Street Address
Address Line 2
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Armed Forces Americas
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ZIP Code
Email:
*
Comment or Question:
I would like to schedule a Backflow Test...
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