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Service Request Type: |
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SECTION ONE
Enter
Your Contact
Information |
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* Required Fields |
Salutation:
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Full Name*: |
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E-Mail Address*:
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Company Name: |
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Job Title: |
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Address1*: |
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Address2: |
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City*: |
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State*: |
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Postal Code*: |
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Country*: |
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Phone*: |
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Alternate Phone: |
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Fax Number: |
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Website Address: |
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How did you hear about BlueStar? |
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SECTION
TWO
Appliance
Repair / Installation |
Please select the kind of appliance you
are requesting services for
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Where did you purchase your BlueStar appliance?
(please provide the name of the dealer, along with their city and state) |
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How old is the appliance? |
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| Please provide the product purchase date, if you know it |
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| Please provide the date the appliance was installed. |
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Who installed the appliance?
(general contractor on site, plumber, installed yourself, etc.) |
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What model is your appliance?
(For example, 36" RNB. If you're not sure of the model, please refer to the product's data plate. The data plate is located on the inside left wall of the unit. For free standing ranges and cooktops, if you remove the left burner grates and look at the inside left wall, you will see the data plate. For the salamander, it is located behind the access panel on the right side of the unit.) |
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What is the serial number of your appliance?
(Along the top of the data plate you will find the model number and serial number. To locate the data plate, please see the question above.) |
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What color is your appliance? |
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Describe the issue or request that you would like BlueStar to handle for you.
(Please include how long you have been experiencing this problem, and how and when the problem occurs, i.e., when you use the appliance, or does the problem exist when the appliance is not in use, such as gas smell when stove is off, etc.) |
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Please enter any other information you may
find useful.
(Optional) |
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SECTION
THREE
Parts
Purchase |
Part Name / Description
(black knob,
etc.) |
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Part Number
(if
known) |
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Quantity |
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Other Information
(Optional) |
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