Home Renovation Service Form

Click on any of the trades listed below to have a Homeservice Club™ Service Representative contact you
(* indicates required field).
If this is an EMERGENCY ORDER please do not fill out this form, call 416-925-1111

Type of service required:
	Interior Decorating / Design		Landscapers
	Heating & A/C Professionals		Locksmiths
	Carpet & Upholstery Cleaners		Tilers
	Appliance Repairmen		Pavers
	Bathroom Renovators		Carpenters
	Kitchen Renovators		Chimney Sweeps
	Basement Renovators		Electricians
	Upholsterers		Plumbing & Drain Specialists
	Doors & Windows		General Contractors
	Flooring Specialists		Roofers
	Security Specialists		Bricklayers
	Handyman		Decks & Fences
	Pest Control		Painting & Wallpapering
	Waterproofing		Home Inspectors
	Eavestroughing
* Please specify below any other services or details regarding your order:
What is the best time to call: All day Morning hours Afternoon hours Evening hours

Membership #:
* First Name:
* Last Name:
* Address:
Intersection:
* Home Phone #:	(10 digits only)
Business Phone #:	Ext.:
* E-mail Address:

* Enter the code as it is shown:

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