Address :
146 Shoppers Lane
(near Citrus and Rowland)
Covina, CA 91723
   
 
Schedule An Appointment
 
 
*Name : Brand of Appliance :
*Address : Type of Appliance :
         
*Cross Streets: : Model Number :
         
*City : Serial Number :
*Zip : Is this appliance under Warranty? :
*Phone : Do you have an extended Warranty? :
*Best time to call : If so, what is the contract number?
:  *if available
      and expiration date?
:  *if available
      If so, date of purchase? :  *if available
      and from what store? :  *if available
      Current Customer :
      If no, how did you hear about us? :
      Email :
      Preferred Date :
          Please choose Monday-Saturday
      Preferred Time :      
      Comments :