FacebookTwitterGoogle+Share

Service Request

**Valued Clients Please be advised that any cancellation of service within less than a 24 hour notice will result in a 6 hour minimum cancellation charge.** Any Service Request being made in less than 24 hours of the start time of an assignment shall be considered EMERGENCY SERVICE and emergency rates will apply.

Client Contact Information

Company/Chain Name (required)

Your Email (required)

Your Name (required)

Your Title (required)

Your Address-City-State-Zip

Your Phone (required)

Job Details

Site Name  (required)

Shopping Center Name

Site Address (required)

Site City (required)

State

Site Zip

Site Phone

Site Contact

Agreed Rate ( the rate that both parties have agreed to)

Service Dates

  # of Guards Start Date End Date Start Time End Time Days Service Type  
Job 1  
Job 2  
Job 3  
Job 4  
Job 5  
Job 6  
Job 7  
Job 8  

Comments & Instructions. Please be specific. (required)

Reason for Security

Agreement Understanding
 I understand and agree with New England Security's 6 hour
minimum cancellation fee.

YES

Form Submitted By

 

new-england-security-services