* Required Fields  
* Client Name
* Telephone
* Email Address
* Date of Service Request
* Date of Service Required
* Location: Address / Building / Room
(This is the location where the
work is to be done or where
the service request is for)
* Description of Problem or Service Needed
Be as Specific as Possible! The more information we have, the better.
(i.e. Hardware Problem, Software/Programming
Issue, No Dial Tone, etc.)
Payment Type
(Company Check, Credit Card,
Terms, In-Warranty or Other)
Date Equipment Purchased or Installed
(if known)
System Type or Name
(if known)

A STARK Communications Service Supervisor Will
Contact You Regarding This Request.
For EMERGENCY SERVICE...
Please Call 1(800) We-Install 24 Hours / 7 Days!
For additional service and questions, please contact dispatch@starkcommunications.com
For Emergency Service, please call 1(800) We-Install [ 1-800-934-6782 ].

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