LaMarr Tech Repair - Service Agreement Form
  • Service Agreement Form

  • Intake Information

  • Service Type*
  • ⚠️ Mobile Repair Selected

    You’ve selected Mobile Repair Service.

    This option is different from standard in-shop repairs and is only available for select services. Mobile visits must be discussed and arranged with our team in advance before continuing.

    If you have already arranged a mobile visit, you may continue to provide your location and scheduling details.

    If mobile service has not been arranged, please go back and select the standard repair option. Failure to do so may delay your repair and require a new submission.

    For questions, call 717-220-5780.

  • Mobile Service Details

  • Please enter your mobile service details below and choose the date and time arranged with our team. Incorrect or missing information may delay your repair.

  • Select Appointment Date*
  • A safe, stable, and hygienic workspace must be provided for on-site service. La’Marr Tech Repair reserves the right to discontinue the visit if conditions are unsafe or unsuitable, and applicable trip or cancellation fees may apply. For more information visit www.ltrepair.net/home/in-home-technology-services

  • Service Agreement & Terms

    Please confirm that you have read and agree to the Service Agreement.
  • Electronic Signature Acknowledgment

    By checking the acknowledgment box and signing, the Client confirms their intent to be legally bound by the terms of the Service Agreement under the U.S. Electronic Signatures in Global and National Commerce Act (E-SIGN) and Uniform Electronic Transactions Act (UETA).

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