Schedule your pick-up and delivery
Appliance Parts Request
2922-24 North 22nd Street   
Philadelphia, PA 19132    
Hours of operation
Mon. - Sat. 9am - 6pm
(215) 225-4318
Company Name:
Your name:
Your email address:
Your phone number:
Your Address:
Address 2:
City, State & Zip:
Please check all that apply:
(Press and hold control key to
make multiple selections)
Appliance Type:
Commercial
Domestic
Companies only
Please check one:
Emergency Service
Basic Service
Make & Model:
Equipment Rental Reservation:
Equipment reservation only applies after
Central Appliance has conformed your
reservation. Reservation good for 2 hours
after pick up time .
Please Note:
Equipment Pick Up:
Please indicate date and time.
Equipment Returned:
Repair or Parts  Needs
or comments:
I will pick up from store.
Please check one:
Please ship to me.
THANK YOU!
Central Appliance will contact you to conform
your request.
Equipment Reservation or Shipping Request
Service, Rental & Parts
Department
Central Appliance Service Center 2007