Service Request - Furniture Customer Details First Name * Last Name * Street Address * Suburb * City * Mobile * Landline Email Address * Product Details Store and Branch of Purchase * Product Type * - Select -FabricLeather Invoice Number * Product Purchase Date * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year20142015201620172018201920202021202220232024 Year Copy of Invoice Add a new file Upload More informationFiles must be less than 2 MB. Allowed file types: gif jpg jpeg png txt pdf doc docx. Tick this box if previously supplied Tick this box if previously supplied Service Request Details Reason for Service Request Cut Scratch Scuff Stain Other Have you had your suite professionally cleaned? - None -NoYes If so, by whom & when? What date did the incident occur? * What part of the furniture is stained or damaged? * Please explain what caused the stain or damage * If this is a stain, what was used to clean it? * How often do you clean/protect your lounge suite? * What is remaining now? * Photo Please upload an up-close photo and one further away showing the full piece of furniture. Add a new file * Upload More informationFiles must be less than 2 MB. Allowed file types: gif jpg jpeg png pdf. Submit
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