Step 1: Ken's Personnel
Employee Receiving Appliance:
*
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Step 2: Customer and Appliance Info
Customer Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Appliance Type
*
Please Select
Air Conditioners
Blenders
Dishwasher
Coffee and Espresso Makers
Cooktops
Dishwashers
Dryers
Ranges
Wall Ovens
Freezers and Ice Makers
Microwaves
Mixers
Refrigerator
Small Appliances
Vacuum and Floor Care
Washers
Others
Other Appliance
Brands
*
Please Select
Cafe
Flexsteel
Frigidaire
GE
GE Profile
Haier
Hotpoint
LG
Midea
Monogram
Oreck
Samsung
Scotsman
Sharp
Others
Other Brand
Model Number:
*
Serial Number:
*
Under Warranty:
Please Select
YES
NO
Problem Description
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Step 3: Visual and Condition Inspection
Exterior Damage:
Please Select
Dents
Scratches
Missing Parts
Appliance Powers ON?
Please Select
YES
NO
Any customer repair attempts?
Please Select
YES
NO
If Yes, explain:
Capture Image
Upload Photos if needed:
Browse Files
Drag and drop files here
Choose a file
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Step 4: Set Service Expectations
Diagnostic Time Frame explained (est. 72 hrs)
*
-
Month
-
Day
Year
Date
Diagnostic Fee:
*
Contact Preference:
Please Select
Call
Text
Email
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Should be Empty: