Menu

Navigation

User login

Home
White Goods Application form

Application form to be used for repairers of white goods only.

White goods include:-

Washing machines and Tumble Dryers
Dishwashers (free standing or integrated appliances)
Fridges and freezers (frost free, American style - all types)
Cookers and ovens, gas or electric including range appliances.
Microwaves and combination ovens
Small household appliances (vacuum cleaners and carpet cleaners)

Business Trading Name

First line of your business address

Second line of your business address

Third Line of your business address

Area (e.g. village name)

City or Town

Post code

Your main contact telephone number. This will be kept private.

Telephone Numbers
Use a separate line for each number and indicate the type of line e.g. :-

01574 121212 John Smith - Private line
01547 111111 Tel
01577 122111 Fax
01254 444444 Sales

Your email address
A copy of this form will be emailed to you after submission.
This email address will be kept private

Email address where website enquiries should be sent to.

Please indicate your primary business website address. Put "None" if you do not have a website.

Please tick the appliances you repair.

Please enter the name of your insurance company

Your insurance policy number.

The date your insurance policy will expire. This information will NOT be used for marketing.

Please indicate the amount of cover you hold.

Please list the service agencies you hold. Please use one line per entry

Are you a member of DASA? (Domestic Appliance Servicing Association)

If you are a member of DASA please enter your registration number.

If you are F Gas member please enter your registration number.

The date your F Gas registration expires

If you are a Gas Safe member please enter your registration No.

If you are a Gas Safe member, please enter your expiry date.

Please indicate what guarantee your company extends to its customers for completed work.

Please indicate the amount of guarantee you offer your customers when you supply parts.

Please indicate any exceptions to the above guarantees and explain why you have exceptions.

Please list all of the postcode areas you cover.

Please enter one postcode per line. Please include the first 4 or 5 Digits e.g. LS1 1 or LS11 1

Please check very carefully the above postcodes, this list will form your area on the system and will determine the enquiries directed to you.

The above information will be used to form a company profile of your business on our website. This profile is your shop window and can be edited and updated by yourself once approved.

Skill sets and postcodes can only be edited by Site admin, if your circumstances change please inform us as soon as possible.

Once you have been approved, you will be able to add images to your profile.

Please read our terms and conditions of membership and indicate that you have read them and will abide by them by selecting YES.

If you have not read our terms and conditions, please do so before submitting this form.

Open another browser window to read the terms and conditions. Failure to open another windows could result in the information you have entered could be lost.

Please enter you full name to indicate your agreement with this form.

Date of application.

Household appliances fixed

Helping to repair computers, washing machines, dishwashers, fridges, cookers and most household appliances.

Simply click "Find an engineer" to find a repairer you can trust to give you competitive price and reliable repair service

What you need to know before contacting an engineer

Before contacting an engineer, please have the following information handy.

  1. Make of your equipment
  2. Model number
  3. (White goods) Serial number
  4. Description of fault
  5. When did the fault first happen