Drive Sales with Home EV Chargers

For Repairs, BOOK ONLINE (existing Reliance customers only) or call 1-888-837-1451.

For Regular Maintenance/Tune Up, please CLICK HERE.

By completing this request for a quote and voluntarily providing your personal information, you consent to the collection and use of such information by us for the purposes of responding to your request by email and/or phone and assisting with the in-home sales appointment you have scheduled. You are welcome to review our Privacy Policy by clicking Here.

Appointment Details

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Book Appointment *

Date*

Time*

Time Period*

Select time for a call back*

Yes, I’d like a free water quality test and water purification consultation during my appointment.

Yes, please let me know how I could get $500 off a HEPA filter for improved indoor air quality during my appointment.

Are you the home owner?*

Yes

No

Are you an Existing Reliance Water Heater Customer?*

Yes

No

Product to be serviced*

Type of issue you're experiencing*

Do you own or expect to have an Electric Vehicle in a month?*

Yes

No

Do you already have a Level 2 EV Charger?*

Yes

No

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For Repairs, BOOK ONLINE (existing Reliance customers only) or call 1-888-837-1451.

For Regular Maintenance/Tune Up, please CLICK HERE.

By completing this request for a quote and voluntarily providing your personal information, you consent to the collection and use of such information by us for the purposes of responding to your request by email and/or phone and assisting with the in-home sales appointment you have scheduled. You are welcome to review our Privacy Policy by clicking Here.

Contact Information

Name*

First Last

Email*

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Phone*

For Repairs, BOOK ONLINE (existing Reliance customers only) or call 1-888-837-1451.

For Regular Maintenance/Tune Up, please CLICK HERE.

By completing this request for a quote and voluntarily providing your personal information, you consent to the collection and use of such information by us for the purposes of responding to your request by email and/or phone and assisting with the in-home sales appointment you have scheduled. You are welcome to review our Privacy Policy by clicking Here.

Location

Address*

Street Address Unit # City Province Postal Code

Additional Details

Please describe the issue you are experiencing

Please describe the issue you are experiencing*

Newsletter Sign-Up

Yes, I’d like to be signed up for the Reliance Newsletter.

Name

This field is for validation purposes and should be left unchanged.

For Repairs, BOOK ONLINE (existing Reliance customers only) or call 1-888-837-1451.

For Regular Maintenance/Tune Up, please CLICK HERE.

By completing this request for a quote and voluntarily providing your personal information, you consent to the collection and use of such information by us for the purposes of responding to your request by email and/or phone and assisting with the in-home sales appointment you have scheduled. You are welcome to review our Privacy Policy by clicking Here.