Parts Request Form
Use this form to request a quote for your part(s) needs.
What type of part do you desire? (click one)
New Used
What is the Brand of your Appliance?
What is the Model Number of your Appliance?
What is the Revision Number or B/M Number of your Appliance? (Maytag, Admiral, Wards, Norge, Magic Chef)
What is the Description of the part you need? (Include Part Number, if known)
What is wrong with your appliance? (IE- Washer won't fill, Dryer not heating, Ect)
How do we Contact you:
Name:
Address:
City, State, Zip
Phone:
E-Mail:
Best Method to reach you? E-mail Phone
How did you Find us? Search Engine Referral E-bay Item Phone Book Stumbled onto by chance