Request For Service/Maintenance - Precision Appliance Leasing

Name*
First Last
Email*
Enter Email Confirm Email
Primary Phone*
Alternative Phone
Service Date Requested*
MM slash DD slash YYYY

(Service appointments scheduled Monday - Friday only)
Current Address*
Street Address Address Line 2 City State Zip/ Postal Code

(Where the machine(s) are currently located.)
Current Property Name*
Written Permission to Enter*
- I will leave Written Permission to Enter with the Apartment Leasing Office
- I will be present at the time of the move
Pet Containment*
- All pets (if any) will be contained.
Special Instructions
- I would like a 1-hour call ahead
Is your unit located above floor/ground level?*
- Yes
- No
Does your unit have access to an elevator?*
- Yes
- No
Additional Commetts regarding parking or gate entry?
Please read and the Conditions below and check to indicate your agreement.
Dry-Run Fee*
- I understand I will be charged a 'dry-run' fee of $25.00 if the driver is unable to gain access*
Detailed Description of Service Issue*
Signature*
Email
This field is for validation purposes and should be left unchanged.

Don’t just take our word for it…