Online Scheduling

Type of Job

Payment Structure

Your Zip Code

Pick a Date

Provide Details

Finalize

Please tell us what kind of job this is:

New (i.e., it's my first request to you on this problem)
Continuation (i.e., the tech needs to finish work already started)
Recall (i.e., previous repair work failed to solve the problem

You're not in the correct venue.

If we are in fact ready to send the technician out again, we will have emailed you to that effect. That email contains a 'Click Here to Schedule' hyperlink.

You need to go to the email and click on that hyperlink. It will take you to a different scheduling page -- one where we already have your information.

We're sorry you're having trouble. We work very hard to assure that every problem is fixed -- correctly and completely -- the first time.

As part of our effort to assure quality, we need to review each recall request before sending the technician back out.

Please, either call the office (8044366069), or email us (davidfarmerapplianceservice@gmail.com) with a concise description of what you're encountering. We promise a prompt response.

What is the payment situation?

Standard (i.e., you're personally responsible)
Original Manufacturer's Warranty
Extended Warranty or Contract Service
Other Third-Party Payer (e.g., Landlord/Tenant)

So that we can let you know the particular days we're
available in your area, please let us know your zip code.

Location Being Serviced

Item Being Serviced

Paying Party Info

If you're someone else...

• First Name

• Last Name

• Street Address

• City

• State

• Zip

• Email

Added Notes/Special Instructions

Telephone 1

•

Telephone 2

Telephone 3

Description (hm, wk, ext, etc)

•

Description (hm, wk, ext, etc)

• Machine Type

Other

Machine Make

Other

Model Number

Serial Number

Purchase Date

Selling Dealer

Other

• Description of Problem and/or Request

• First Name/Contact Person

• Last Name/Business Name

• Billing Address

• City, State and Zip

• Email Address

• Telephone 1

• Indicate whether office, cell, etc.

Telephone 2

Indicate whether office, cell, etc.

•

Name of Payer

•

Your Contract Number

P.O. Number (if applicable)

How do you intend to pay for this service?

Cash

Check

Bankcard

This page not applicable when service is under manufacturer's warranty.

Please fill in this section if you're a third party (i.e., someone other than the party living at the service address) ordering service on the consumers' behalf.

• Your Name

• Your Role

• Your Telephone Number

• Your Email Address

Appointment made for .

Thank you for choosing our company. We look forward to serving you.

Your appointment should download to our office shortly, and within a few minutes thereafter we'll send you an email, confirming that we have your appointment, that it's booked, and fully in our system.

If, for any reason, you do not get the email, please contact us, as it would indicate there's a problem in the system.

Scheduling appointment for .

I certify that I, , am the person now scheduling the service indicated (if you're someone else, click here).

I certify that all information placed here is true and correct, to the best of my knowledge.

I understand that, based on my action here, David Farmer Appliance Service will send a technician to the indicated location on the scheduled date.

I agree to fulfill all obligations as may properly and legally arise in connection with this order for service.