Total Service Request Form

Total Service Request Form

Please note this is for active contract holders only. This is not a confirmed appointment; it is an appointment request. A service operator will call, text, or email you to confirm the appointment.
Full Name

First NameLast Name
Contract Number
Contact Number (Phone Number on File)
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What date and time work best for you? Please note this is NOT a confirmed appointment time, this just gives our service operators a chance to meet your requested time. ALSO NOTE: if you live in a building, often weekend days are not allowed (by your building)
What department do you need service from?
Please describe the problem in detail. (Ie, if it's a sink, tell us in which room; etc)
Would you like to be notified about promotional services?
Choosing "Yes" means you agree to receive promotional text messages from Total Appliance & Air Conditioning Repairs, Inc. (Total Repair Pros) about offers and services, sent using automated technology, at the number you provided. Agreeing is not a condition of any purchase or of receiving service. Up to 4 messages per month. Message and data rates may apply. Reply STOP to cancel or HELP for help. See our Privacy Policy at totalrepairpros.com/privacy-policy and our Terms of Use at totalrepairpros.com/terms-of-use.
NOTE: This is NOT a confirmed appointment, this is an appointment request. Our service operators will call or text you to confirm appointments.
Should be Empty:

Total Service Request Form

NOTE: This is NOT a confirmed appointment, this is an appointment request. Our service operators will call or text you to confirm appointments.