Welcome to the MASCO Services, Inc. Service Information Form. We are thrilled that you are considering our services for your office. This webform is designed to gather essential details about your organization so that we can provide you with the most accurate and customized business solutions tailored to your organization’s specific needs. Please take a few moments to complete the following form with as much detail as possible. Office Name Address 1: Address 2: City State Zip Code Office Contact Name Phone Email Check here if Billing Contact is different. Billing Contact Name Phone Billing Email Please enter Billing Email again to confirm Billing Address City State Zip Code Emergency Contact Please provide additional contact information in the event we cannot reach you via your office phone: Name Phone Number Operations Name Phone Number Office Hours Add office hours for each day your office is open. For days when closed, enter in the field below. Day of Week Office Opens Lunch Starts Lunch Ends Office Closes Operations Day of Week - None -SundayMondayTuesdayWednesdayThursdayFridaySaturday Office Opens Lunch Starts Lunch Ends Office Closes Days office is closed: Oncall Employees Add oncall employee information: Name Mobile Number Home Number Pager Number Pager Carrier Email Operations Name Mobile Number Home Number Pager Number Pager Carrier Email Off-hours Procedure In which order should MASCO Services attempt to contact the oncall employee: Order # Contact Method Wait Period Notes Operations Order # - None -12345 Contact Method - None -mobilehomepager Wait Period Notes Required Information By default, messages include a name, callback number and reason for calling. If you would like additional information to be retrieved, please indicate below: * * Additional charges may apply. Message Delivery Please choose one of the following options for message delivery: Delivery Type Delivery Email Address or Fax # Delivery Type - None -EmailFax Delivery Email Address or Fax # Should messages be delivered as received? - Select -YesNo When should messages be delivered? Holidays Please select the holidays when your office is customarily closed: New Year's Day New Year's Day Martin Luther King Jr. Day Martin Luther King Jr. Day Presidents Day Presidents Day Patriots' Day Patriots' Day Memorial Day Memorial Day Juneteenth Juneteenth Independence Day Independence Day Labor Day Labor Day Indigenous Peoples'/Columbus Day Indigenous Peoples'/Columbus Day Veterans Day Veterans Day Thanksgiving Day Thanksgiving Day Christmas Day Christmas Day New Year's Eve New Year's Eve Other Holidays Name Operations Name Special Instructions or Comments Please input any special instructions or comments here: Leave this field blank