Service Form - Wagner Appliance, Winston-Salem's Discount Appliance Store

To set up a service appointment with Wagner Appliance please fix out the form below.

If you are out of warranty there will be a diagnostic fee of up to $60, depending on how long you have been out of warranty.

Please fill out the following to obtain service:

* Indicates required field

Name *

Phone Number *

Email *

Manufacturer *

Model Number *

Purchase Date *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Describe the problem with the appliance. *

Add any pictures or short video clips that may help explain the issue.

Attach File *

Max file size: 20MB

Attach File *

Max file size: 20MB

Attach File *

Max file size: 20MB

Attach File *

Max file size: 20MB

IT MAY TAKE A FEW MOMENT FOR PIC/VIDS TO UPLOAD AFTER YOU CLICK SUBMIT

SUBMIT