Repair Request Form

Fill out the form below to submit a request to have your unit repaired. Someone will call you to schedule an appointment.
Please call 718-893-3901 or 800-287-8799 if you have any questions.

First Name 
Last Name 
Address 
City 
State 
Zip 
Telephone 
Alternate Telephone
Problem 
Model 
Date Purchased 
Where did you purchase this Unit? 
Best time to contact
Email