Repair Submission Form

Please allow 24-48 for response after submission.

Your Name (required)

Street (required)

City (required)

Zip (required)

Phone Number (required)

Email

Date of Install (required)

Crew Leader Name

HPH Representative

Repair Description (required)

Attach image

4200 SE Columbia Way, Suite C Vancouver WA 98661 Office: 888 892 7939 Fax: 503 296 2572 CCB# 196673 WA HIGHPPH876DN Email: info@highperformancehomesinc.com