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Repair Request Form


Please fill out form below to request your 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 2021, XP Electronics
  Appliance Repair Service
Heat Pumps and Ductless Minisplits
New, Harvested and Refurbished parts
 

XP Electronics LLC
  90 Airport Rd, Suite 10
  Concord, NH 03301
info@xp-electronics.com

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