Existing Customer

*Service Request Type
—Please choose an option—Cleaning OnlyMaintenanceParts orderRepairRestorationSell Your StoveBuy an Appliance (Stove Sales)

*Your Email

*First Name

*Last Name

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Customer Number

*Address1

Address2

*City

* State SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennslyvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

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*Home Phone

Cell / Alternate Phone

How did you hear of Belgrove Appliance, Inc.? —Please choose an option—Internet/GoogleExisting customerReferral Friend/FamilyReferral/Appliance DealerOtherAngie's ListYelpCBS RadioTelevisionNewspaper/MagazineMarketing CampaignAnother websiteStove Collectors Discussion BoardYellow Pages AdSocial Media - Facebook, Twitter, etc.YouTube

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Make and Type of Appliance You Own (i.e. GE gas stove or Chambers gas range)

How many years old do you think your appliance is? Or how long have you had it? —Please choose an option—More than 20 years10 to 20 yearsLess than 10 years

Fuel Type CLIENT NOT SUREDual Fuel - Gas & 220 VoltsElec Ignition Gas & 120VElectric Range (208-240 volts)Natural GasPropane Gas

Model # of your current appliance (Please submit a photo of the model and serial plate on the stove, if possible, if your stove is less than 20 years old)

Describe how we could help you or what issue you are having.

1+4=?