Name *

Email *

Phone *

Organization *

Street *

City *

State or province *

Zip *

Country

Below we have provided space for reporting on two different items.  If you have a service request for more than two product items, please complete and additional service request form.

 Second Item (optional)

Please refer to our products pages if item number can not be located (clicking on this link will open a new window)

Item No. *

If month is not available you must provide a year

Date Purchased *

If not available and your organization has purchased furniture from us on multiple occasions, please try and provide us with some reference to the specific job

Purchase Order *

What part of the item is damaged?

How did the damage occur?

Please provide as many dimensions as possible. We have standard dimensions for items, but many customers have received special items and standards have changed over the years.  Some guidelines are as follows:

1. Damaged bed - Please provide all bed post dimensions (3), overall width of bed end, overall length of rail or spring, and whether or not it is hardwareless assembly

2. Damaged drawer - Please measure overall width and depth, as well as height of drawer front.  Please also note if drawer front is screwed to the front of the drawer box (detachable) or if it is dovetailed into the box.

Applicable Dimensions

If there is anything else that you think would be helpful to us please let us know

Any Additional Information