Service Appointment Request Form

1
Select the appliance you want to repair?* This field is required.
Refrigerator repair
Dryer Repair
Washer Repair
Dishwasher Repair
Freezer Repair
Oven Repair
Cooktop Repair
Microwave Repair
2
Find a technician in your area * This field is required.
3
Is your refrigerator built-in?* This field is required.
YES
NO
4
Is your dryer gas or electric?* This field is required.
Electric
Gas
Not sure
5
How are your dryer and washer placed?* This field is required.
Stacked
Side-by-side
6
What's the brand of the appliance?* This field is required.
7
Select the Refrigerator issue* This field is required.
Ice maker not working
Not cooling
Leaking
Noisy
Other
8
Select the Freezer issue* This field is required.
Ice maker not working
Not cooling
Leaking
Noisy
Other
9
Select the Cooktop issue* This field is required.
Defective surface
Spark issue
Temperature adjustment issue
Other
10
Select the Microwave issue* This field is required.
Making noise
No Power
Not heating
Touchpad not working
Other
11
Select the Dishwasher issue* This field is required.
Leaking
No Power
Noisy
Not draining
Odor
Other
12
Select the Dryer issue* This field is required.
Burning Smell
Not heating
Drum issue
No power
Other
13
Select the Oven issue* This field is required.
Oven temperature is too high or low
Oven door is jammed or won’t latch
Oven won’t ignite or draw power
Thermal fuse issue
Other
14
Select the Washer issue* This field is required.
Not draining
Drum issue
Leaking
Odor
No Power
Other
15
Please describe the issue in detailOptional
Huge
Large
Normal
Small
Ok
Ok
16
Appointment* This field is required.
17
Where shall we send your technician?* This field is required.
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
18
Where can we send important updates about your appointment?* This field is required.Home Appliances Repair Service Call - $39 Service Call Fee - $39 How do service call fees work? A technician will review scope of work in-person and confirm their service rates with you. If you wish to move forward with the repair, we will waive the service call fee from the total price offered by the technician. You can also decline the repair and simply pay $39 for the service call.
Full name
Please enter a contact number
Please enter your email
19
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