Assembly Instructions

Parts and Damage Replacement Procedure
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
I
F MORE THAN ONE MODEL NUMBER IS LISTED ABOVE, PLEASE SPECIFY THE EXACT MODEL NUMBER OF YOUR
I
TEM IN THE SPACE PROVIDED BELOW.
Model Number
Part Letter Code
Quantity