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Work Request Form
Please use this form to send a request to our dispatch. If it is after business hours and you require immediate assistance, please call (970) 728-5525.
* Required Field
Telluride Service Ordered By
First Name*
Last Name*
Email*:
Payment Method*:
Cash
Check
*Customer agrees that all work is COD,
unless otherwise arranged.
Job Location
Street Address*:
City*:
Appliance Repair
Make:
Model:
Type of Appliance:
Contact Information
Name*:
Phone Number*:
(
)
ext:
Please provide a description of the service required*:
(350 character max)
email:
wfp@telluridehandyperson.com
phone:
970.728.5525