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[{"lid":"1531306243545","ls":"10","loff":"","li_type":"ri","li_name":"Appliance_Select","li_req":"y","li_defselitem":"0","li_radcb":"rb","li_gallery":"[{\"img\":\"https:\/\/static.tildacdn.com\/tild3939-3463-4330-a635-646631343537\/REFRIGERATORS.png\",\"alt\":\"REFRIGERATOR\"},{\"img\":\"https:\/\/static.tildacdn.com\/tild3438-3038-4037-a563-393731326466\/dish-washers.png\",\"alt\":\"DISHWASHER\"},{\"img\":\"https:\/\/static.tildacdn.com\/tild3732-6166-4064-b864-646531383237\/ovens.png\",\"alt\":\"MICROWAVE\"},{\"img\":\"https:\/\/static.tildacdn.com\/tild6264-3266-4963-a462-663565386135\/stoves.png\",\"alt\":\"STOVE\"},{\"img\":\"https:\/\/static.tildacdn.com\/tild6131-6435-4163-a264-346135316631\/WASHING-MACHINES-DRY.png\",\"alt\":\"WASHER\"},{\"img\":\"https:\/\/static.tildacdn.com\/tild3865-6565-4161-a532-363634353162\/CLOTHES-DRYERS.png\",\"alt\":\"DRYER\"},{\"img\":\"https:\/\/static.tildacdn.com\/tild6666-3030-4333-b432-613730316461\/hood.png\",\"alt\":\"HOOD\"},{\"img\":\"https:\/\/static.tildacdn.com\/tild6432-3535-4932-b161-323739353338\/other.png\",\"alt\":\"OTHER\"}]","li_imgratio":"1_1","li_nm":"Appliance_Select"}]
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Please Select an Appliance
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APPLIANCE INFO
[{"lid":"1531306243545","ls":"10","loff":"","li_type":"sb","li_name":"Appliance_Brandname","li_title":"SELECT BRAND","li_req":"y","li_variants":" \nAMANA\nASKO\nBOSCH\nDAKOR\nELECTROLUX\nFISHER & PAYKEL\nFRIGIDAIRE\nGE\nGE MONOGRAM\nGE PROFILE\nHAIER\nHOTPOINT\nJENN AIR\nKENMORE\nKITCHENAID\nLG\nMAGIC CHEF\nMAYTAG\nMIELE\nSAMSUNG\nSEARS\nSUB ZERO\nTHERMADOOR\nU-LINE\nVIKING\nWHIRPOOL\nWOLF\nOTHER","li_defselitem":"0","li_nm":"Appliance_Brandname"}]
[{"lid":"1701551181559","ls":"10","loff":"","li_type":"in","li_name":"Appliance_Model_Number","li_ph":"Model Number (Optional)","li_nm":"Appliance_Model_Number"}]
[{"lid":"1701552485432","ls":"10","loff":"","li_type":"ta","li_name":"Appliance_Description","li_title":"DESCRIPTION OF THE PROBLEM","li_ph":"e.g. Washer is not turning on","li_rows":"3","li_nm":"Appliance_Description"}]
[{"lid":"1701551277238","ls":"10","loff":"","li_type":"uw","li_name":"Appliance_Pictures","li_title":"Pictures (Optional)","li_uwkey":"google-8611d7a0ef965a8cbf4e61b","li_multiupl":"y","li_nm":"Appliance_Pictures"},{"lid":"1702460048752","ls":"20","loff":"","li_type":"nm","li_name":"r_Appliance_Pictures","li_ph":"Up to 10 files...","li_nm":"r_Appliance_Pictures"}]
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[{"lid":"1702019158806","ls":"10","loff":"","li_type":"nm","li_name":"Customer_First_Name","li_ph":"First Name","li_req":"y","li_nm":"Customer_First_Name"}]
[{"lid":"1702019158801","ls":"10","loff":"","li_type":"nm","li_name":"Customer_Last_Name","li_ph":"Last Name","li_req":"y","li_nm":"Customer_Last_Name"}]
[{"lid":"1702019158795","ls":"10","loff":"","li_type":"ph","li_name":"Customer_Phone_Number","li_req":"y","li_masktype":"a","li_maskcountry":"US","li_nm":"Customer_Phone_Number"}]
[{"lid":"1702019158790","ls":"10","loff":"","li_type":"em","li_name":"Customer_EMail_Address","li_ph":"Your E-Mail","li_req":"y","li_nm":"Customer_EMail_Address"}]
[{"lid":"1702019158785","ls":"10","loff":"","li_type":"in","li_name":"Customer_Address","li_ph":"Your Address","li_req":"y","li_nm":"Customer_Address"}]
[{"lid":"1702019158780","ls":"10","loff":"","li_type":"ta","li_name":"Customer_Extra_Contact_info","li_ph":"Any extra information about your location e.g. gate code, parking, etc... (Optional) ","li_rows":"3","li_nm":"Customer_Extra_Contact_info"}]
CONTACT INFO
APPOINTMENT
[{"lid":"1600044218202","ls":"10","loff":"","li_type":"rd","li_name":"Appointment_Time_Frame","li_title":"SELECT TIME-WINDOW","li_req":"y","li_variants":"8:00 AM - 10:30 AM\n10:30 AM - 12:30 PM\n1:00 PM - 2:30 PM\n2:30 PM - 4:30 PM\n4:30 PM - 6:00 PM","li_defselitem":"1","li_radcb":"rb","li_nm":"Appointment_Time_Frame"}]
[{"lid":"1531306243545","ls":"10","loff":"","li_type":"da","li_name":"Appointment_Date","li_title":"SELECT DATE","li_req":"y","li_dateformat":"DD-MM-YYYY","li_datediv":"dash","li_nm":"Appointment_Date","li_datemask":"99-99-9999"}]
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