Service Request


All labor is billed at the rate of $135 per hour. The prices outlined in this form only include a system diagnostic and up to one hour of labor. If a technician is required on-premise, additional travel charges are specified by Zone. (see chart below)

Replacement parts are NOT included and incur additional fees if required to facilitate the repair.

Zone Included Counties/Boroughs Labor Charge Travel Charge
Zone 1 Nassau
Queens
Brooklyn
$135 per hour $30
Zone 2 Bronx
Staten Island
Manhattan
Suffolk
$135 per hour $60
Zone 3 Westchester
Bergen
Rockland
Hudson
$135 per hour $80
Zone 4 Putnam
Essex
Union
Middlesex
Passaic
$135 per hour $120
PLEASE NOTE:   Authorization by a manager or business owner is required for prompt service. If we dispatch a technician to your office and you decide not to have any services done, you are responsible for the agreed upon charges.
Customer Information * denoted required fields

Company / Contact Name*

Address Line 1*

Address Line 2

City*

State*

Postal / Zip Code*

Phone Number*

Email Address*

Onsite Service Details  
Select your Zone

(See table above for service areas): *
Describe the service(s) you need: *
Cost Summary:

ESTIMATED COST:

** This estimate does NOT include:
- Additional Labor/Time
- Replacement Parts (If required)
- Applicable taxes
Authorization
*

By checking this box you are accepting the charges outlined above in the cost summary. Failure to
pay these charges within 15 business days may result in the interruption of your Sammy support.

 


Name of Authorizing Agent *

This is NOT a bill; you will be invoiced for this service separately.



Frank LigaService Request