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JAZ Backflow Prevention, LLC
Phone: (480) 282-0505     Fax: (480) 699-4549

Call today for a free estimate or to schedule a service call.
Licensed by State of Arizona Registrar of Contractors, Bonded & Insured.

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Schedule Backflow Assembly Testing & Repair Here!

You can scedule your test right here! 
Simply fill in the form below and we will contact you to confirm your appointment.

Service Location

Site Name
Contact Name
Address
Address2
City, State, Zip
Special Instructions
Please make sure your backflow device is unlocked and accessible.
If your backflow device is not accessable and service cannot be performed, you will still be charged a service fee.

Billing Information

Name
Company
Phone
Fax
Address
Address2
City, State, Zip
E-Mail

Service Questions

Yes, you have permission to make any nessesary repairs on-site. (Replacement parts and service fees may apply)
Yes, if the location is locked, you have permission to cut the lock and replace it with a combination lock. (Padlock code will be mailed to your billing location)

Preferred Contact Method:

Phone
E-Mail
Fax

I Agree to the Service Terms and Conditions.

 



Service Terms and Conditions

JAZ Backflow Prevention, LLC       Scottsdale, AZ        ROC 268091
Copyright ©. Gothard & Associates. All rights reserved.