Installation Request

Please note that this is only a service request. Submission of this form does not constitute a service agreement.
We will review your information, and contact you regarding your service. If you choose to have us repair your device, you will need to either bring it to our shop, request a pick up from your home, or request In-home service. Additional fee might apply to In-home and pick up services.

Personal Details

First Name *
Last Name *
Phone *
Email *
Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Unit Description

TV Type *
Brand *
TV Size *
Description of the problem
Please try to be as detailed as possible!
Please select the service type, when and what time will be convenient for you for out technician to stop by. We will try to accommodate your schedule, but please note that those are only estimated dates and times.
Service Type: *
Date *
Time *HHMMAM/PM

Verification

Please enter any two digits *Example: 12
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