New Customer Profile Set up — Baele and Sanders Services

New Customer Profile Set Up Form

Please complete this form for our team to set up your customer profile. Once this is received a call can be created and placed on the schedule for service. A representative will contact you directly to coordinate a date and time.

Please see our rates, terms and conditions of services here
Note that new customers are subject to non-contract rate and payment is due at time of service for first diagnositc/repair.

Email
contact@bassrepairs.com

Phone
253-765-8067

Business Name

Business Address

Address where services will be provided

Primary Contact

First and Last

First Name

Last Name

Phone

(###)

###

####

Message

Please provide details about the equipment type, services required or issues with the equipment

BIlling Contact

First and Last Name

First Name

Last Name

Billing Email

Billing Phone

(###)

###

####

Checkbox

I have read the terms and services and am aware that a 1 hour on site and 1 hour travel minimum is required for diagnostic and repair

New Customer Profile Set Up Form

BASS

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