Electro Services - Mail Form

Service Form: Print this page!
Print two copies of this form using your browser's 'Print' command.
Please include one with your equipment needing repair,
Keep the second copy for your records.
View Shipping and Packaging Information

Name:

Address:

City:

State:

Zip:

Day Phone:

Night Phone:

Fax:

Email:

Product Type:

Brand:

Model:

Warranty:

Yes No

Serial #:

If no warranty, repair limit amount:
You will be notified if your repair will exceed this amount

Description of Problem:

Shipment:

Packaging
& Shipping

If you wish to pick up your
appliance personally, please
select 'Pick Up'.

Please use the following address:

Electro Services
837 Willow Road
Lancaster, PA 17601

Questions and Comments:

Print this page!
Print two copies of this form using your browser's 'Print' command.
Please include one with your equipment needing repair,
Keep second copy for your records.
View Shipping and Packaging Information

Thank You!
Questions, please call or email us...

P: 1-800-404-0075