Parts Request Form | Darrell's Appliance

Our parts department is the largest in Northern Utah and Southern Idaho. Debbie, our Parts Manager, is highly skilled at keeping the most commonly used parts in stock for our technicians and all those DIY customers that need a part over the counter the same day. We have the right part when you need it. Request a part on our website or call today!

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Name

Address

Phone

Email Address

How may we contact you? home phone / work phone / cell phone / email / other

Appliance Brand*

Appliance Type*

Model Number

Serial Number

Purchase Date (Needed if under warranty)

Is your appliance under Warranty or Extended Warranty?

Trouble Reported (What doesn't the appliance do?)

When would you like to have a Service Call scheduled? OR Do you have a question or comment to give us?

Date Requested for Parts

Best time to call you to confirm appointment?*

Best department you wish to contact?*