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FLORIDA ELECTRICAL SIGN SPECIALIST
LICENSE #ES0000350
North Central Florida's Premeir Sign Service & Repair Specialists
COMPANY NAME:
CONTACT NAME:
CONTACT EMAIL:
CONTACT PHONE NUMBER:
BILLING ADDRESS:
SITE ADDRESS:
CITY:
BILLING CITY:
STATE:
STATE/ZIP:
DESCRIPTION OF PROBLEM:
OPTIONAL INFORMATION THAT WILL EXPEDITE REPAIR: (RESULTING IN LOWER COSTS)
WHICH SIGN(S) NEEDS REPAIR?
ELEVATION OF SIGN?
WHICH PARTS OR SECTIONS ARE OUT?
ON SITE CONTACT PERSON:
 PHONE NUMBER:
HOW/WHERE DO WE TURN ON POWER?
BUS. HOURS / ACCESS LIMITATIONS?
PARKING LIMITS?  SITE  BLOCKED OFF?
PO#
BUSINESS INFORMATION
Please fill out the on-line questionnaire below to assist in expediting the repair process.
If you don't already have an account set up with us, please print the Credit Information Form and
return it to us. After your account has been approved we can bill you for the service call.

A Jeffcoat Signs representative will call you back within the next business day.
You may also call us to request Sign Service at:
352-377-2322
1611 South Main Street Gainesville, FL 32601   Ph. 352-377-2322  Fax. 352-377-4249  Toll Free 1-866-377-4248
North Central Florida's Premier Sign Service & Repair Specialists
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