Irrigation Service Request Form - Custom Touch Irrigation

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Property Type*

Commercial

Residential

Business Name*

First Name*

Last Name*

Email*

Address Line 1*

Address Line 2*

City*

State*

ZIP Code*

Preferred Phone Number*

Best Time to Call

Was Your System Installed by Custom Touch Irrigation?*

Yes

Don't Know

Do You Have a Service Contract?*

Yes

Don't Know

Check all Items that Need to be Addressed:*

Broken Rotor/Spray

Inspect/Adjust Heads

Broken/Cut Irrigation Line

Move/Raise/Straighten Heads

Zone not working

Adjust Controller

Backflow Test

Start-up/Shut-down

Other

Upload Picture of Problem (Optional)

Max. file size: 25 MB.

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