Standard Service Fee - $65 per hour

Form Submitted by: *

Form Submitted From: *

Staff Name *

Your Name *

Email *

Address *

Phone *

Purchased From Luxe Barbeque Company? *

Invoice Number

SERVICE TYPE *

Please note, you may be asked to provide the original bill of sale to properly complete any part / service / or warranty requests.

Purchased Luxe Service Plan *

Brand *

Serial Number *

Model Number *

Description of issue or part needed *

Photos or other helpful files.

Photos of issues / parts needed

Additional info

PLEASE NOTE STANDARD SERVICE FEE OF $65 PER HOUR MAY APPLY.

*****IF ALL INFORMATION ISN'T FILLED OUT CORRECTLY THE FORM MAY NOT BE SUBMITTED PROPERLY AND YOU MAY NOT BE CONTACTED*****

Broil King - Palmyra Replacement Brush Heads - 3 Pack