
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
Parts and Damage Replacement Procedure
Please inspect your purchase immediately.
This procedure covers product purchased and was received inits originally sealed carton.
If you find a part missing or damaged, you have a 30-day window in which to order a replacement
part from the date on your purchase receipt.
You have 3 ways to do this. You will need a copy of your purchase receipt.
a. By Fax
b. By Email
c. By Mail

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.
Component List
A 1Mirror
Hardware List
No QtyDescriptions
1
BCDresser
Mirror Support
1
2
No QtyDescriptions
10PHCB Screw M4 x 32mm
D Dresser Support 1
ASSEMBLY COMPLETED
A
C
STEP 1
1
C
Adjust according to
the ground level.
Center mark
Adjuster
D
Note : Take out assembly instructions sheet, hardware pack and feet packaging from the drawer which marked with the rope.
DRESSER & MIRROR
DESCRIPTION : DRESSER & MIRROR