Appointment

NAME:

ADDRESS:

ZIP CODE:

PHONE:

EMAIL:

APPLIANCE TYPE:

APPOINTMENT DATE:

TIME:

8-12

9-1

10-2

11-3

DESCRIPTION OF THE PROBLEM:

EXTRA INSTRUCTIONS (IF ANY):

HOW OLD IS YOUR APPLIANCE?

UNDER 1 YEAR OLD

OVER 1 YEAR OLD

Our service call fee is $85 for the 1st appliance, and $30 for the 2nd, which is waived with repair.

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