Service Request - ASKO First Name(Required) First name of the customer.Last Name(Required) Last name of the customer.Contact Name Name of the person to contact if different than the owner. Not required.Company Name (if applicable) Ex: Building name if apartment complexAddress(Required)The street address where service is needed. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Customer Phone Number(Required)A phone number where customer can be reached.Receive Mobile SMS Messages Yes No Email(Required) Contact email address. This will be the primary way we will make contact with you.BrandASKOSelect your brand of the product to be servicedModel Number(Required) The model number for the product to be serviced.Serial Number(Required) The serial number for the product to be serviced.Article/SAP Number(Required) How to Find the Article Number and Serial Number on Dishwasher Find the label on the inside of the dishwasher's door. How to Find the Article Number and Serial Number on Washer The washer has a label with these numbers on the inside of the door. How to Find the Article Number and Serial Number on Dryer The dryer has these numbers on a label inside the door. Description of Problem(Required)Tell us what issue you are having with your product. Max 200 characters.Date of Installation MM slash DD slash YYYY Is this customer's first service request? Yes No Has any troubleshooting been completed? Yes No If Yes, please describe.Purchase/Delivery Date(Required) MM slash DD slash YYYY The date of purchase or date of delivery for the product to be serviced.Place of Purchase(Required) Name of dealer where product was purchased.Upload Proof of PurchaseAccepted file types: jpg, gif, png, pdf, jpeg, doc, Max. file size: 2 GB.Proof of purchase should be included for all Warranty service requests. Upload a file from your computer.Special Instructions for Service Provider Best time to contact the customer for any additional information Known Parts Required
