Schedule Your Service Now General Information Your Name Your Email (required) Your Phone Number (required) Contact Information Repair Address Apt/Unit # City Zip Code Billing Customers Info This section is for Billing Customers only, if you are not a billing customer skip this section and go to the next section Credit Card VisaMaster CardAmerican ExpressDiscover Credit Card Number Expiration Date Name on Card Billing Zip Code Brand and Type of Appliance Brand of appliance: Not Listed or Don't Know (that's ok)AdmiralAmanaBoschCaloricChambersColdspotDacorEstateFisher PaykelFrigidaireGaffers SattlerGaggenauGeneral ElectricGibsonHotpointInsinkeratorJenn-AirKelvinatorKenmoreKirklandKitchenAidLittonMagic ChefMaytagModern MaidNorgeO'Keefe & MerritPenney'sQuasarRoperSamsungSanyoScottsmanSears BrandSharpSignatureSpeed QueenSubzeroTappanThermadorToshibaUlineWardsWaste KingWedgwoodWestinghouseWhirlpoolWolf Type of Appliance: Please ChooseDryerFreezerMicrowaveOvenRangeStoveRefrigeratorWasher Description of Problem Requested Appointment Date: Time: Please select a timeCall Me To ArrangeMorning7-9AM8-10AM9-11AM10-12AM11-1AM12-2AM12-2PM1-3PM2-4PM3-5PM4-6PM5-7PM Instructions or Directions How will payment be made? I will be there during appointman timeCall Me 20 minutes before arrivalCall me for approval and bill me.Call me for approval my credit card. Δ
