Service Request Form

Please fill out the form below.

Name*
Street Address*
Address Line 2
City*
Zip Code*
Email*
Phone
Preferred day of the week:*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Preferred time of day:*
- AM
- PM
Did Rocktops do the initial install?*
- Yes
- No
Brief Description*
To expedited the process, please upload the following images:
Images that capture the entire surface area(s) e.g. entire countertop(s), ideally taken from 6-10 ft away. Images that capture each damaged area(s), ideally taken from 2 ft away. If possible please place a coin next to the issue so we can understand the scale of the issue.
Drop files here or

Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 300 MB.
Name
This field is for validation purposes and should be left unchanged.