Online Service Request Form

This online service request form is meant to be used during our standard hours of operation of Monday to Friday, 8:00 AM to 4:30 PM AST. Forms submitted outside of these hours will only be processed on the next business day.

Please phone the front desk at (902) 426-3629 to place a service request outside of our hours of operation and you require urgent service. For all other requests, please use the form below to request the service.

( * ) denotes a required field

Service Information
Please complete at least one
Required water tonnage:
Size of electrical service:
Hot work permit:
Crew or contractor:
PO#:
Service Details
Vessel name:
* Location where service is required:
* Date/time when service is required:

Contact Information
Service request time:	2012-05-18 22:27
* Name:
* Phone number:	555-1212
* E-mail address:
* Vessel agent:


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