Online Service Request

Service Request

For all emergency service requests outside our office hours listed below please call toll free 866-511-3011.

Please fill out this form below to request service. Once submitted, a confirmation email will be sent to you. Automatic Door Group will respond to all service form requests between:


  • Monday - Thursday 8:00AM - 5:00PM CST
  • Friday 7:00AM - 4:00PM CST
  • * Priority:

    * Select Your Location:

    Contact Person

    * First Name: * Last Name:

    * Contact Phone Number: (### - ### - ####) Alternate Phone Number: (### - ### - ####)

    * Contact Email: Customer PO or Routing #:

    Property Information

    * Company Name:

    * Property Address:

    * City: * Zip Code:

    * State:

    Billing Information

    (Only Fill in Billing Address Info if Different from Property Address)

    Billing Address:

    City: Zip Code:

    State:

    Product Details

    * Select Product:

    If "Other" Selected, Please Explain:

    * Problem Description:

    If "Other" Selected, Please Explain:

    Additional Information

    Door Location and/or Door ID:

    Additional Comments or Requirements:

    Anti-Spambot Question

    Unfortunately, this question is necessary to thwart internet spambots.

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