Dealer Service Portal

We have built this page specifically for appliance dealers to easily place service orders for appliance repair on behalf of their customers.

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Dealer Name(Required)

Dealer Contact(Required)

First Last

Dealer Contact Email(Required)

Dealer Contact Phone(Required)

Customer Name(Required)

First Last

Customer Address(Required)

Street Address Address Line 2 City State ZIP Code

Customer Email(Required)

Customer Phone(Required)

Type of Appliance(Required)

Issue with Appliance(Required)

Brand(Required)

Model Number

Serial Number

Date of Purchase(Required)

Who is the paying party?(Required)

Other Third-Party Warranty

Authorization Number

Preferred Date of Service

Upload Bill of Sale

Max. file size: 50 MB.

Upload Photos

Drop files here or

Max. file size: 50 MB.

Order Form