Thermo-Tech Premium Windows and Doors

Yards/Contractors/OSR Parts & Service Request form

Please fill out the form below. A Service Department representative will contact you after your request has been received.

IMPORTANT: Missing or incomplete information may cause delay in service completion.

    Today's Date*

    column placeholder

    Dealer Name*

    Dealer Contact*

    Address*

    City*

    State*

    Zip*

    Dealer Phone Number*

    Dealer Email Address*

    Original Order #*
    Where to find the Order #

    Original Order Date*

    Job Name or PO Number

    Homeowner's Name*

    Address*

    City*

    State*

    Zip*

    Homeowner's Primary Phone Number*

    Other Phone Number

    Homeowner's Email Address*

    Type of Window/Door*

    Color of Window/Door*

    Size of Window/Door (Frame Dimensions)*

    Grids*
    YesNo

    Description of Work Request*

    Glass Unit Only
    Seal FailureStress CrackOther

    Sash Size (to within 1/16".)

    Visible Glass Size (Glass surface measurement vinyl to vinyl within 1/16".)

    Deliver Replacement To:*
    DealerHomeownerDeliver/Install Replacement (Labor charges apply after first year.)

    Who to Bill:*
    Bill YardBill HomeownerWarranty

    Directions to Job Site


    Enter Your Email Address For Confirmation*


    Upload Picture (jpg format, Maximum file size: 4mb/4000kb)
    Upload Picture (jpg format, Maximum file size: 4mb/4000kb)
    Upload Picture (jpg format, Maximum file size: 4mb/4000kb)

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