Aviv Appliances
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First Name*
Last Name*
Phone*
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Email
Address*
APT#
City*
ZIP Code* 33
Serving only Broward and Palm Beach counties FL
Appliance Type* WasherDryerRefrigeratorFreezerIce MachineOvenCook topRangeDishwasherTrash compactorGarbage Disposal
Appliance Brand* AmanaBoschColdspotDacorEstateFrigidaireGEHotpointISEJenn-AirKenmoreKitchenAidLGMagic ChefMaytagSamsungScotsmanSpeed QueenSub-ZeroThermadoreWestinghouseWhirlpool
Appliance Age* 1-2 years2-5 years5-10 years10-15 years15-20 years20 plus
* Under 1 year ? Call your free factory warranty service
Problem and Comments*
Preferred Day for Service*
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Landlord Information Form
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Billing Application Form
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[checkbox enable_landlord use_label_element "( If Applicable )" default:1]
Landlord/Company Name*
Billing Address (Optional)
(561) 861-0660
avivappliances@gmail.com
101 S Federal Hwy, Room 611 Boynton Beach, FL 33435
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