Schedule Service | Lee's Appliance Repair

Customer Information

First Name *

Last Name *

Email *

Home Phone *

Business Phone *

Street Address *

City *

State *

Zip *

Billing Information

Is your billing information the same as above?

First Name

Last Name

Email

Primary Phone

Secondary Phone

Street Address

City

State

Zip

Service Information

Appliance Type *

Appliance Make *

Model *

Serial Number *

Requested Date *

Month

Day

Year

We typically can only schedule 1 business day out and dates requested are subject to confirmation by return mail or phone call. If you require same day service, please call our offices at 303 722 1013. We do not schedule work over weekends.

Problem to be solved, description, or customer request *

Other Notes