******************************Information:****************************** Name: #form.name# Title: #form.title# Customer Type: #form.rescom# Organization: #form.organization# Street Address: #form.streetaddress# Street Address (cont): #form.streetaddresscont# City: #form.city# ZipCode: #form.zip5# Work Phone: (#form.workareacode#)#form.workphone3# - #form.workphone4# Home Phone: (#form.homeareacode#)#form.homephone3# - #form.homephone4# Fax Number: (#form.faxareacode#)#form.faxphone3# - #form.faxphone4# Email: #form.email# Best Time to Call: #form.calltime# Special Request: #form.specialrequest#

Thank you.

The information you supply will remain strictly confidential. This information will help us decide on the type of service you will need.  Our service manager will be in touch with you shortly to answere any questions you have and to schedule any service you need or request. Thank you for contacting J.C. Wlkins Plumbing.
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J.C. Wilkins Plumbing Co. Inc.
840 Massengill Pond Rd.
Angier, NC 27501
Phone 919-639-6201
Fax 919-639-7766
©2002