Form Test - Ask Mr Home Guy

Name

First

Last

for User Evaluation

City

State

Zip Code

Short description of issue

Item Location

Items and Appliances for Repair Evaluation

Brand Name

Model Number

Serial Number

User agreement to terms

You are purchasing an Evaluation Report based on your completed form. Please include all information for the best report.

Purchase Evaluation Report

Price: $1.00

Within 48 hours, you wil receive your report if your item can be fixed, an estimated cost for DIY andestimate cost range to hire a pro.