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Send Us A Message
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Requester's Name:
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Requester's Phone Number
*
Requester's Email
Appliance Type*
*
Dish Washer
Refrigerator
Oven/Range (single)
Oven (double)
Range/Stove Top (drop in)
Garbage Disposal
Washing Machine
Dryer
Not Listed (include in comments)
Type of Appliance*
Brand
Amana
Crosley
Estate
Electrolux
Frigidaire
GE
Hotpoint
Kenmore
Kitchenaid
LG
Maytag
Roper
Samsung
Whirlpool
Not Sure
Brand*
Model No. (Located On or Inside Appliance)
Is Your Appliance a Double Oven or a Stacked Washer/Dryer?
Yes
No
Address
When Are You Available?
Please Describe Your Issues Below. Include any additional relevant information.
Email
Submit
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