East Coast Appliances Online Booking Request

Thank you for choosing East Coast Appliances! Please provide us with your contact information for your appointment.

To ensure a prompt service, please upload an image of your appliances rating plate or provide us with your appliances model details to allow us to pre-diagnose the fault and come prepared with the necessary parts!

Customer Details

Name *

Mobile Number (Used to send TXT Messages)

Alternative Number

Address Postcode

Address Line 1

Address Line 2

Address Line 3

Address City

Address County

Address Country

Address What3Words

Email Address

Alternative Email Address

Job Details

Appliance Type *

Appliance Make

Model Number

Serial Number

Product Code

Fault Details

Fault Details as reported by customer *

Customer supplied image / video

Warranty Details

Policy Number

Valid From

Expires

DOP

Auth No