Name* First Last Address* Street Address Address Line 2 City/Town Postal Code Home PhoneMobile Phone*WhatsApp NumberEmail APPLIANCE DETAILSAppliance Type* Dishwasher Dryer Freezer Microwave Refrigerator Stove Washer OtherAppliance Type- OtherPlease specifyBrand* Electrolux Frigidaire GE Kenmore Whirlpool OtherBrand- OtherPlease specifyModelSerial NumberDate of Purchase MM slash DD slash YYYY Warranty? Yes NoDescribe problem*NON-WARRANTY CUSTOMERS: Upon receipt, our service desk will evaluate your request and if approved, will notify you via email or WhatsApp with an Approval Number, price, and website link to our payment form.Complete the form by entering the Approval Number and amount, then submit payment.Once our service desk confirms the non-refundable payment, you will be contacted to schedule your repair.WARRANTY CUSTOMERS: Upon receipt, our service desk will contact you to give assistance over the phone before scheduling a technician visit.Δ
