Work Request Form

Please use this form to send a request to our dispatch. If it is after business hours and you require immediate assistance, please call (970) 728-5525.

* Required Field

Telluride Service Ordered By
First Name*
Last Name*
Email*:
Payment Method*:	Cash Check
	*Customer agrees that all work is COD, unless otherwise arranged.
Job Location
Street Address*:
City*:
Appliance Repair
Make:
Model:
Type of Appliance:

Contact Information
Name*:
Phone Number*:	( )	ext:
Please provide a description of the service required*: (350 character max)