Service Request                         

Please fill out all the fields below,Our office will contact you A.S.A.P. 


Requesting

Name

Address
City
Zip Code
Home Phone
Cell Phone


Description of your Request

If your request is for In-Home Service on your TV,
Please fill out the following Fields:

Make
Model #
Serial #

TV Location on your House 


Enter Day of purchase

Do you have an Extended Warranty?                                    

Enter contract # or authorization #
Please Note: If your TV is under factory warranty a copy of your bill of sale is required,   NO EXEPTIONS !!
 
Our technicians need to have access to the back of the unit!!!

                                                                
    

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