Online Diagnostic Sheet

Please fill out as much of the form as possible.
We answer e-mails and make call backs throughout the day.

*Required Information*

Appliance Type (required)

Aplliance Brand

Model (required)

Year Purchased (required)

Your Name (required)

Your Phone (required)

Your Email (required)


Describe the problem

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Use of this form gives consent to contact you by phone or email for the purpose supplying the requested information. Vero Beach Appliance Repair will not share your information with any outside businesses or remarket your information.