Request by

Shipping Information

Invoice/P.O # (Located under seat)

Date*

Shipping address same as requestor

Name*

Company*

Address*

City*

State*

Zip*

Phone*

Email*

Attn.* (Please enter the name of the individual that will be receiving the warranty claim.)

Company*

Address*

City*

State*

Zip*

Phone*

Email* (Order acknowledgment will be delivered to the following email address.)

Product Information

1. *Please Select a Reason

* Chair Model

* Part Missing or Damaged

* Quantity

* Description of Problem

Uploading images of the warranty issue will help improve the resolution process.

(click browse button, locate file; repeat step for each file
Only JPG, GIF and PNG Files allowed to upload.
Max File Size 4 MB
)

1. *Please Select a Reason

* Chair Model

* Part Missing or Damaged

* Quantity

* Description of Problem

Uploading images of the warranty issue will help improve the resolution process.

(click browse button, locate file; repeat step for each file
Only JPG, GIF and PNG Files allowed to upload.
Max File Size 4 MB
)
Add Another Part

TO MAKE A WARRANTY CLAIM PLEASE FOLLOW THE BELOW PROCEDURE:

  1. If you find that a part is missing:
    a. Send a completed copy of this form noting the parts that are missing.
  2. Should you have experienced a defective part:
    a. Please submit a completed copy of this form with digital pictures (clearly showing defect)

ALL WARRANTY REQUESTS WILL BE RESOLVED IN AN EXPEDITIOUS MANNER