1223 S. 71st East Ave. Tulsa, OK 74112  USA (918)838-9811 office (918)838-1532 Facsimile
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Century Geophysical, LLC.

1223 S. 71st East Ave. Tulsa, OK 74112 USA Phone: (918) 838-9811 Fax: (918)838-1532
CenturyWirelineServices- Canada 209 Spruce Street Red Deer County,  AB T4E 1B4    Canada Phone: (403) 346-5060 Fax: (403) 346-5085
Century Wireline Services-Columbia Parque Industrial Acropolis Bodega28 Tocancipa, Cundinamarca  Colombia Phone: (57) 8786746

USA Field Offices

Meeker, CO: Phone 970-260-8674       Gillette, WY: Phone 307-686-8045        Sheridan, WY: Phone 307-673-0037

Century Wireline Services Request

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Service Request

Century Wireline Services Request

Complete the following form and submit




Company Requesting Service

Contact Name:  

Company:  


Mailing Address:  

City:   State:   ZIP:  

Phone Number:           Confirm Phone#:  

Email Address:  

     Confirm Email:  


Job Location

Location /Mine:  

County:        City:         State:        Zip:   

Job Info

Start Date:        End Date:  

Number of Holes:        Hole Diameter:       Hole Depth:   

Services Requested:   

Other Info:  


To Prevent Robots, Please answer this question: If winter is Cold, summer is?    (hint:Three letters,lowercase.... starts with "h")


For office use only. Do not put anything in this field.
 

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