To schedule, change or cancel a service call, or to speak with a customer service representative, please call 1-800-905-9505

Send mail to:

A & E Factory Service

Customer Relations

1300 Louis Henna Blvd.

Round Rock, TX 78664

To help us better serve your needs in the future, please take a moment to fill in the form below to tell us about your repair service experience.

All fields marked with an asterisk (*) are required.

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First Name*		Last Name*
Address*
City*		State*	State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	ZIP*
Home Phone*		Work Phone
Alternate Phone		Email*

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Date of repair service
Service Order Number

What item was repaired?* (check all that apply)

	Washer
	Dryer
	Refrigerator
	Oven
	Cooktop/Range
	Dishwasher
	Microwave
	Sport/Fitness

Other:

Please describe your repair service*

How would you like to be contacted by A&E?

	Home Phone
	Work Pone
	Alternate Phone
	Email

What is the best time to contact you?

	Morning
	Afternoon
	Evening

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