City:      Zip Code:      

Home Phone Number:       Alternate Phone Number:      

Email Address:

Appliance Type: [Select One] Built In Gas oven Built In Electric Oven Over-the-Range Microwave Cooktop - Gas Cooktop - Electric Cooktop - Smooth Range - Electric Range - Gas Dryer - Electric Dryer - Gas Refrigerator Built In Refrigerator Top Load Washer Front Load Washer       Appliance Make: [Select One]Admiral Amana Asko Brown Crosley Electrolux Emerson Estate Fedders Fisher & Paykel Frigidaire Gaffers & Sattler GE Gibson Hotpoint JC Penney Jenn-Air Kelvinator Kenmore KitchenAid Magic Chef Maytag Montgomery Ward Norge OKeefe & Merritt Roper Sears Sharp Speed Queen Tappan U-line Westinghouse Whirlpool

Problem Description:



DATE

I would like to receive confirmation at my e-mail address.

Charges vary per city and are listed below:

Rancho Cucamonga (Cucamonga, Etiwanda, Alta Loma), Montclair, Chino, Pomona, Ontario, Upland are all $62.00 for the first 30 minutes and $18.00 for every 15 minutes

Chino Hills, La Verne, Fontana are all $64.00 for the first 30 minutes and $18.00 for every 15 minutes

For other cities, please contact our Service Dispatcher for rates and details.

If a second tech is required to for a job (for example to pull a washer or dryer out of a cabinet) then there is an additional charge of $65.00.

If the service tech determines that your appliance should be replaced rather than repaired, the customer is still responsible for the service call.  However, a credit of $25.00 will be applied to the purchase of a new appliance from Cagles Appliance Center if the purchase is made within 30-days of the service call.

If the box below is NOT marked, your email will not be received by Cagle's. 

Please read and understand the following before marking the box.  Thank you.

CHECK BOX TO CONFIRM THAT YOU UNDERSTAND THAT THE ACTUAL SERVICE DATE AND TIME WILL VARY AND WILL BE SET BY THE SERVICE DEPARTMENT. UNLESS YOU HAVE RECEIVED EITHER A CONFIRMATION EMAIL OR PHONE CALL, YOU DO NOT HAVE A RESERVATION FOR A SERVICE CALL.

Unfortunately, with some mail servers, some of the data is lost somewhere in "cyber space".  Consequently, we occasionally receive a blank email.  If that occurs, we will send you back an email and request a phone contact so we can call you direct for the necessary information.  You are also free to "copy & paste" this form into an email message and forward to us at:  repair@cagles.com        THANKS.