Repair Shop Submission Form - MarBeck.com Appliance Parts and Repair

You may use this form for sending your appliance for repair. Please include the following information:

Name:
Address:
Address:
  (Note: No PO Boxes, please)
City:
State:
Zip Code:
Phone number:
Email Address:

Appliance Brand and Type:
  (e.g., Norelco Shaver, Farberware Percolator, etc.)
Model Number:
Please describe the problem with the appliance:



Stated charge for the repair:
__ $29.99   __ $39.99   __ $49.99   __ $59.99   __ $69.99
Other (please state): $____

Method of payment for the repair:
__ Visa   __ MasterCard   __ Money Order / Cashier's Check
Is payment included with the item?
__ Yes   __ No


Ship to:
MarBeck Appliance
303 West 79th Street
Kansas City, MO  64114



Please read and understand the following before shipping your appliance to us:

-- Carefully pack your product for shipment.  We cannot be responsible for packages that arrive damaged in shipment.
-- Consider insurance for your package.  Many shippers include insurance with your shipping charge or will add it for a nominal fee
-- Please explain the problem with your appliance and not the solution you believe it needs.  For example, our repair staff will be better assisted in fixing your appliance if you describe it as "Will not run on high" rather than "Replace the motor."
-- Please note that all rates are only for destinations within the lower 48 contiguous United States.  We do not ship to Hawaii, Alaska, APO/FPO Boxes, or internationally.
-- You may pay by money order, cashier's check, Visa, or Mastercard.  If you plan to pay by money order or cashier's check, please include payment with your item.