Billing Information Update - Fred's Appliance

Corporate or Official Name *

D.B.A.

In order to expedite service, we ship all parts directly to our customers. Would you like us to ship the parts to the service address or to another location? *

Ship to the service address
Ship to an alternate location

Alternate Location *

Sometimes apartment complexes prefer all parts to be shipped to the main office. We also see companies accepting deliveries at Shipping & Receiving or a Maintenance Office.

Would you like us to reach out to you to provide a quote for all repairs that will cost more than the service charge, or would you like to give us an amount that you would like to pre-authorize? *

Reach out to me to provide a quote for all repairs that will cost more than the service charge
We authorize you to repair a unit as long as the total repair cost is under the specified amount below (including service charge)

Pre-Authorized Amount *

Commonly, businesses choose $300 as a pre authorized amount. Any time we exceed that amount on a repair, we will reach out to you to see if you would like to move forward with the repair.

How would you prefer us to contact you to quote a repair? *

Phone
Email
On-Site Staff Member

Who do we reach out to for the purpose of providing a quote? *

First

Last

Who do we reach out to when the repair exceeds your pre-authorized amount? *

First

Last

Who is the on-site staff member that we can reach out to? *

First

Last

What is a good contact number the technician can use to reach the on-site staff member at the time of service? *

Where can we email the quote to? *

What phone number would you like us to call to provide the quote for the repair? *

Today's Date *