Michaelson's Online Service Call Request

Warranty Coverage: Yes

Please Note: Fields marked (Required) must be Filled in.

*Warranty Information, All information Required

Brand:(Required)

Type:(Required)

Age of appliance:(Required)

Model Number:(Required)

Serial Number:(Required)

Purchase Information:

Month:(Required)

Day:(Required)

Year:(Required)

Purchased At:(Required)

Do you have an Extended Warranty Contract?(Required)

Yes

If Yes, Extended warranty by who(Required)

Contract Number if Known

Please give a brief description of the problem with appliance:(Required)

Last Name:(Required)

First Name:(Required)

Your Address

Street:(Required)

City:(Required)

State:(Required)

Zipcode:(Required)

Home Phone:(Required)

Work Phone:

Cell Phone:

Email:(Required)

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:(Required)

Cash

Check

Visa - M/C

Other Contact Name:

Other Home Phone:

Other Work Phone:

Other Cell Phone:

We normally respond within two hours during normal business hours.