Service Request Please fill out the form below to request service from AVI. Service Request Form AVI Service Request Form Customer/Builder/Job Name(Required)Please Enter the Customer or Job Name.Date MM slash DD slash YYYY Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code PhoneEmail(Required) Please provide a short description of the problem:(Required)Please list the location(s) of your issue:(Required)Was the product purchased from AVI/Lavitt Group? YES NO Not Sure Where was the product purchased?(Required)When was the product purchased?Product installed by: Retailer Customer Contractor Unknown Not Installed Which product are experiencing the problem with?(Required)Please provide the original order/quote number (if available):List any glass related issues like fogging or breakage.Please provide a glass code (etching is located on the corner of the glass)Do you require Installation by AVI? Yes No Not Sure Note: Labor on some parts are not covered by the manufacturer and may be subject to a labor charge. This will be determined by the purchase and installation date. AVI will quote the labor if it is not covered by the manufacture. Is the property occupied? Yes No Name/Phone number of the contact person onsite to coordinate service:(Required)Gate code or alarm codes to the property:Please provide photos of the issue(s):Accepted file types: jpg, jpeg, png, gif.Please enter the answer to this test below: Δ