PROFESSIONAL AND QUALITY SERVICE ON ALL MAJOR APPLIANCES
Serving Greater Los Angeles and Ventura Counties Since 1995
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818-609-0912
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YOUR CONTACT INFORMATION
Your Name (First , Last)
Phone Number
Company Name
Fax Number
Street Address
City / Zip Code
E-mail Address
TELL US ABOUT YOUR EQUIPMENT
Type of Service
Choose One
Private
Home Warranty
Factory Warranty
Product Name
Choose One
Clothes Washer
Clothes Dryer (elec)
Clothes Dryer (gas)
Dishwasher
Refrigerator
Oven (elec)
Oven (gas)
Stove (elec)
Stove (gas)
Range (elec)
Range (gas)
Microwave Oven
Freezer
Garbage Disposal
Other (specify)
Brand Name Type
Choose One
5 Star
Admiral
Airtemp
Amana
Asko
Avanti
Bendix
Best
Bissel
Bosch
Broan
Broan
Brown
Brown
Caloric
Carrier
Coldspot
Corning
Creda
Crosley
Dacor
DCS
Emerson
Equator
Fisher
Five Star
Friedrich
Frigidaire
Gagganau
Garland
GE
Gibson
Gold Star
Hardwick
Hoover
Hotpoint
Insinkerator
Jenn-Air
Kelvinator
Kenmore
Kitchen Aid
Litton
Magic Chef
Magic Chef
Maytag
Miele
Monarch
Montgomery Wards
Norge
Nuton
Philco
Premier
Raingaire
Regency
Roper
Sanyo
Sears
Sharp
Slattery
Speed Queen
Sub-Zero
Sun Ray
Tappan
Thermador
Toshiba
U-Line
Viking
Wasteking
Welbilt
Whirlpool
No Brand/other (specify)
Type
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Commercial
Residential
Age
1 year
1-3 years
3-5 years
5-10 years
10-15 years
15-20 years
More than 20 years
Not Sure
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