Claim for appliance repair

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Claim for appliance repair

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Name *

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Address for appliance repair *

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Phone number *

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Phone number (alternate)

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Email *

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Appliance

Choose

Dryer Gas Type

Dryer Electric Type

Washer Top Load

Washer Front Load

Range/Stove

Cooktop

Single Oven

Double Oven

Refrigerator

IceMaker

Garbage Disposal

Freezer

Microwave

Microwave Oven

Dishwasher

Brand

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General Electric

Samsung

Maytag

Kenmore

Frigidaire

LG

Whirlpool

KitchenAid

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