Schedule HVAC Service

serviceBellPlease use this online form to request routine heating or air conditioning service. A Jack Rich, Inc. representative will review your request and call you back to set up and confirm your appointment.


— Important Notification —
This service request form is for ROUTINE service requests only!
DO NOT REQUEST IMMEDIATE OR EMERGENCY SERVICE HERE.
Instead, call our emergency 24 hour hotline at
570.622.3000, 570.874.2000 or 1.800.366.7424.

* = Required Field

Mr.Ms.Mrs.

* Full Name

* Email

* Street Address 1

Street Address 2

* City

State: PA

* Zipcode

 
* Main Phone:

Alt. Phone:

* Type of Service Request

 
* Date of Service Requested:

* Time of Service Requested

 

* Description of service needed