A APPLIANCE REPAIR SPECIALIST, INC.

ADDRESS:
8075 Old Mechanicsville TPK
Mechanicsville, VA 23111
aappliancerepair@cavtel.net

PHONE:
(804) 730-6407

FAX:
(804) 559-9360

SERVICE REQUEST

USE THIS FORM TO SCHEDULE AN IN HOME REPAIR. PLEASE FILL OUT THE NECESSARY INFORMATION AND EMAIL THE FORM TO US.

WE WILL CONTACT YOU TO CONFIRM THAT YOUR PREFERRED TIME IS AVAILABLE OR SET UP AN ALTERNATE TIME.
   
Preferred Method of Contact Phone E-mail
Name
Street
City
Zip
Phone Number
Work Number
Cell Number
E-mail
Appliance Refrigerator
Washer
Dryer
Electric Range
Gas Range
Microwave
Window A/C
Heat Pump
Central A/C
Electric Water Heater
Gas Water Heater
Dishwasher
Disposal
Other
Brand
Model Number
Serial Number
Description of problem:
   
Preferred Day of Service Monday
a.m.
p.m.
  Tuesday
a.m.
p.m.
  Wednesday
a.m.
p.m.
  Thursday
a.m.
p.m.
  Friday
a.m.
p.m.
  Saturday
a.m.
p.m.
   
Preferred Appointment Time:
Monday-Friday 		9:00 - 10:30
10:30 - 12:00
12:00 - 1:30
1:30 - 3:00
3:00 - 4:30
4:30 - 6:00
** 6:00 - 7:00 **
   
Preferred Appointment Time:
Saturday		 10:00 - 11:30
11:30 - 1:00
1:00 - 2:00
** After 2:00 P.M. **
   
Please specify the date that you are requesting service for:
   

THE MINIMUM CHARGE FOR IN HOME SERVICE IS $66.00*. ONCE THE DIANOSIS IS COMPLETE, THE TECHNICIAN WILL QUOTE A JOB RATE OR PART AND LABOR RATE FOR THE JOB. THE $66.00* CHARGE WILL BE APPLIED TO THE COST OF THE JOB IF REPAIRS ARE DONE.

FOR CALLS SCHEDULED BEFORE 8:00 AM OR AFTER 6:00 PM WEEKDAYS OR BEFORE 10:00 AM OR AFTER 2:00 PM SATURDAY THE MINIMUM CHARGE IS $99.00

OVERTIME CALLS ARE ACCEPTED BASED ON THE AVAILIBILITY OF A TECHNICIANTO TAKE THE REQUESTED CALL
   
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