Michaelson's Appliance Repair Tampa

Michaelson's Online Service Call Request

Note: Fields marked must be filed in!

About Your Appliance

Warranty Coverage: yes

** Warranty Information, All information Required **


Purchase Information:


Do you have an Extended Warranty Contract?  Yes No

If Yes, Extended warranty by who

Contract Number if Known

Please give a brief description of the problem with appliance:

Client Information:


Your Address

Even when an appliance is assumed to be in warranty, A method of payment is required in case it is not covered by warranty.
Method of payment:  Cash   Check   Visa - M/C

Optional Contact Information

Other Contact Name:
Home Phone:
Work Phone:
Cell Phone:

We normally respond within two hours during normal bussiness hours.

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