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Warehouse Check-In
Customer Name
Phone
Email
Appliance Type
— Select —
Washer
Dryer
Refrigerator
Stove / Range
Dishwasher
Microwave
Other
Brand
Model / Serial #
Invoice #
Problem Description
Customer Mood at Drop-Off
— Select —
Calm / Friendly
Frustrated
Upset / Angry
Received By
— Select —
Steve
Nikki
Cheyenne
Ronnie
Warehouse Crew
Other
Submit Check-In
Two appliances? Submit this form once per appliance.
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