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Contact Information
Name (enter first & last)
Resident Name (if different)
Email Address
Repair Address Apt/Unit #
State  Zip
Phone (person booking) Home Work Cell
Resident's Phone Home Work Cell
Owner's Phone Home Work Cell
For Landlords / Property Managers ONLY
Billing Address Apt/Unit #
  State  Zip
Repair Needed and Appointment Time
Brand of appliance
Type of Appliance:
 
Description of Problem
Requested Appointment Day Monday Tuesday Wednesday
Thursday Friday Saturday
Requested Appointment Time  
Special Instructions or Directions
How will payment be made?  
PLEASE NOTE: We will do whatever we can to honor your requested appointment date and time, however we cannot guarantee the current availability.

 


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Official Factory
Authorized Servicer For:

bulletAmana
bulletEstate
bulletGladiator
bulletHaier
bulletIkea
bulletJenn-Air
bulletKirkland (Costco)
bulletKitchenAid
bulletLG
bulletMaytag
bulletRoper
bulletSamsung
bulletWhirlpool

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