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Repair Request Form


Please fill out form below to request your HDTV or Appliance repair service.
We will contact you within next 8 business hours to setup appointment !
Fields marked with * are Required
Customer's Information:
First Name*
Last Name*
Street Address*


City*

State*
Zip*
 
Phone Number*   (10 numbers only)
E-mail Address*
Preferred Service Type*
Product Information:
Brand *
Model Number *
Serial Number
Date of Purchase
(if in warranty)
  / /
Symptom *
Additional Information


 
If you have any problems submitting this form please contact us immediately.  

 

 
 


Copyright 2008, XP Electronics
  TV and Appliance Repair Service (MA Lic#: 53820)
New, Harvested and Refurbished parts
 

XP Electronics LLC
  344 Main St.
  Nashua, NH 03060
info@xp-electronics.com

(866) 463-1911 or (603) 791-4200