Service Call Form

* = required field Full Name* Company Address* City* State* Zip* Phone* Customer Status* Current Customer New Customer Equipment Needing Serviced* Phone Computer Network Cabling Other   Description of Service Needed* Your email* Image Verification Please enter the text from the image: [ Refresh Image ] [ What's This? ] Centratech Services Inc. 35 Sandalwood Drive Newark, OH  43055 740.522.4898 800.755.4898 740.522.9682 Fax