New Customer - Nieman Plumbing

New Customer Registration
(see benefits of on-line registration)

Do not use this form if you are requesting emergency service, or if requested service is less than 48 hours from now.

Please call our office at 513-851-5588 to schedule a service call.

New Customer Account Information
(Required)

Account Type:

    Business/Commercial
    Personal

Bill To:
   Company Name (if business account)


   Last Name:
   First Name:

Billing Address:


   City/Town:
          State: ZipCode:

E-Mail Address:


Preferred Phone Contact:
work ext
home
   cell
   fax

Go to Step 2

New Customer Service Request
You may request a service call now.

Contact Information:
    (if different from billing contact)
   Last Name:
   First Name:

   Phone:

Service Address
    (if different from billing address)


    City/Town:
           State: ZipCode:

Type of Service Requested:
For example, replace hot water heater; install sink, etc.

Service Date Requested:



Our Service Department will call to confirm
appointment time

Coupon Code:

Payment Method:

Go to Step 3

Submit Account Registration/
Service Call Request

You will receive an e-mail confirmation when your on-line account is set-up. (Generally within 1 business day)

When your customer account set-up is completed, you will be able to add multiple service locations

When you create an on-line Font Office account,
you will have access to the following on-line features:

Request a Service Call specifying Date & Time
(on-line requests for "First Call of the Day" is available to established customers)

Access Account Information

View and make online payments
(credit approval required)

Review Equipment Information