Service Request Form

Complete when a customer is requesting service on their furniture.

Today's Date: Today's Date: / MM / DD YYYY
Customer Name: Customer Name: First Last
Customer Address: Customer Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Store Purchased From:

Store Purchased From: Deets Furniture Ashley HomeStore Budget Furniture & Mattress
Sales Invoice Number: (Can be found on sales receipt in top right corner)
Date of Sale: Date of Sale: / MM / DD YYYY
Phone Number/Contact Name:
Phone Number/Contact Name:
Phone Number/Contact Name:
Email
Item Description:
Describe Problem: (Be specific)
Serial Number:
Is this a Lazboy Item?

Is this a Lazboy Item? Yes No
If a Lazboy item, please includes ACK number below:
Upload pictures of problem if available:

Attach Files
Please email pictures of problem items/areas to our service technician at: ST@deetshomestore.com Please be sure to include your first and last name in the email.

Please email pictures of problem items/areas to our service technician at: ST@deetshomestore.com Please be sure to include your first and last name in the email. Yes, I will be emailing pictures to the service technician. No, I will not be emailing pictures to the service technician.
Person completing form:
Extra Notes