Appliance Service Request Form First Name Last Name Phone Number Email Address Zip Code ZIP/Postal Code Problem Description CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Name of Appliance At Keim Home Center, we offer appliance sales and service. Complete this form to get in touch with us about your appliance service needs. We offer the following appliance services: Free drop-off within the service area. Installation is available. Appliance repair and maintenance. Call Keim's Appliance Service Department at330.893.5089