Service Request Form
Service Request Form
Complete when a customer is requesting service on their furniture.
Service Type:
*
Service Type:
Service
FCP
Stock Item
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
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:
(Brand, Style #, sofa, loveseat etc)
*
Describe Problem:
(Please be specific)
*
Serial Number:
(Factory tag is typically under the footrest or a removeable seat cushion)
Is this a La-Z-Boy Item?
Is this a La-Z-Boy Item?
Yes
No
If a La-Z-Boy item, please includes ACK number below:
(Factory tag is typically under the footrest or removeable seat cushion)
Upload pictures of problem if available:
Attach Files
If unable to upload, 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 so we can match it up with this form.
If unable to upload, 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 so we can match it up with this form.
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:
(Any additional information you feel we may need)