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Appliance Repair
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Unit for Repair
Unit: 
Unit Description: 
Unit Brand: 
Model: 
  Under Warranty
Trouble Checklist (Please check the problems you encountered with the unit)
No Power Won't Eject For reprocessing
No Picture Won't Open Won't Cool
Intermittent Sound Stuck Up Disc Tape Paint scratched
Discoloration Stuck Up Motor Disalign door
Vertical One Line Noisy Motor Detached gasket
Dead set with oscillation Stuck up Switch Open/melted cord
For Check up For Cleaning Disaligned knob
No Sound For Check up Grounded
Distorted Sound Functured Evaporator Busted bulb
Alignment of Mech. For installation Short Circuit
Paint Fading Dented Body Cracked Cabinet
Others, Please Specify :
Client Information (Please fill-up the following fields for our record purposes.)
First Name: 
Last Name : 
Middle Name: 
Gender: 
Province: 
Municipality: 
Barangay: 
Street Address: 
Contact numbers and email details. (please fill up at least one of the following)
E-mail: 
Telephone No.: 
Fax No.: 
Mobile: 
 
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