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.
Model Number Part Letter Code Quantity
Model Number Part Letter Code Quantity
Parts and Damage Replacement Procedure
Page 1 of 2 MADE IN VIET NAM
1. Please inspect your purchase immediately.
2. This procedure covers product purchased from an authorized Reseller and was received in its
originally sealed carton.
Thank you for purchasing this quality product. Be sure to check all packing material carefully for small Hardware
which may have come loose inside the carton during shipment. Identify and count all Hardware and compare with the
Hardware List Below.
STEP:1
Hardware List 2 (Packed Inside Bed Rails )
Hardware List 1 ( Packed Inside Headboard )
Description
NO.
Qty.
JCBC Screw M6 x 40mm
1 10 Pcs
Spring Washer 1/4"2
10 Pcs
Flat Washer 1/4" x 19mm
3 10 Pcs
Allen Key
4 1 Pc
CBS Screw M4 x 32mm
5
6 Pcs
3 Pcs
1 Pc
Headboard Leg Left ( Packed inside Headboard )
F
No.
Descriptions
Qty
Bed Rails ( Packed Separately )
2 Pcs
C
Bed Slat ( Packed inside Rails )D
3 Pcs
Panel Footboard ( Packed Separately )
Panel Headboard ( Packed Separately )
B
A
1 Pc
1 Pc
Bed Slat Support ( Packed inside Rails )E
Component List
Headboard Leg Right ( Packed inside Headboard )
1 Pc
Left Leg
Right Leg
3
2
1
4
F
F
DESCRIPTION : QUEEN PANEL HEADBOARD/
FOOTBOARD/ RAILS & SLATS
ASSEMBLY INSTRUCTION
B
C
STEP:4
STEP:2
STEP:3
Metal Hook
D
5
A
E
Page 2 of 2
MADE IN VIET NAM
Sketch
Sketch
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