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?