Customer Service Request Form

 
Please complete the form below and provide as much, and as detailed, information as possible. If you are a vendor, please use the Vendor Service Request Form.
 
PLEASE NOTE: Upon completion of the form, you will be taken to another page and will be required to click an additional submit button for site security purposes. If you fail to click the second submit button, your request will not be processed. Thank You.
 


I Am A: :: Please select one.
 
Name: :: Please provide us with your first and last name.
 
Address: :: Please provide us with your street address
 
Address 2: :: Please provide us with your apartment, suite, space, or unit number.
 
City: :: Please select one.
 
Zip: :: Please provide your zip code.
 
Home Phone: :: Please provide your home telephone number here.
 
Cell Phone: :: Please provide your cellular telephone number.
 
Email: :: Please provide your valid email address.
 
Brand: :: Please select the brand of the appliance that needs repair.
 
Product: :: Please select the type of appliance that needs repair.
 
Model Number: :: Please provide the model number of the appliance that needs repair.
 
Serial Number: :: Please provide the serial number for the appliance that needs repair.
 


 
Reported Problem: :: Please provide a description of what is wrong with the appliance that needs repair.
 
Special Instructions: :: Please provide any special instructions for our repair technician.
 
 

PLEASE NOTE:

 
You will be taken to another screen and will be required to click a second submit button for site security purposes. If you fail to click the second submit button, your request will not be completed.Thank you for choosing Seasonal Comfort Company!