Parts and Damage Replacement Procedure
Model Number
Part Letter Code
Quantity
1. Please inspect your purchase immediately.
2. This procedure covers product purchased and was received in its originally sealed carton.
A COPY OF YOUR PURCHASE RECEIPT OR INVOICE MUST BE ATTACHED TO THIS ORDER FORM.
NO ORDERS WILL BE PROCESSED WITHOUT PROOF OF PURCHASE.
NAME: ___________________________________________________________________________
ADDRESS: ___________________________________________________ (No Post Office Boxes)
CITY: ___________________ STATE: _____________________ ZIP: _____________________
PHONE: _________________________________ FAX: __________________________________
EMAIL: ___________________________________________________________________________
REASON FOR REPLACEMENT/PLEASE CHECK APPROPRIATE BOX.
( ) Damaged /scratched, cracked, broken, crushed, etc.
( ) Mechanical malfunction/ drawer glides, swivel mechanisms, lid stays, etc.
( ) Missing pieces
( ) Unfinished surface
( ) Wrong color
( ) Other
IF MORE THAN ONE MODEL NUMBER IS LISTED ABOVE, PLEASE SPECIFY THE EXACT MODEL NUMBER OF YOUR
ITEM IN THE SPACE PROVIDED BELOW.
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