Arwoods Furniture Arwoods Butterfly

Furniture Service Request
Please fill out this form as complete as possible to expedite your service issue. All furniture sold at Arwood's
Furniture & Mattress is only warrantied by the manufacturer. While Arwood's Furniture & Mattress is
willing to facilitate your warranty claim we are not obligated to make any repairs or replacements. Any services
not covered under the manufacturers warranty will be subject to charges for parts, labor, and transportation.
Name *

First
Last
Original Purchaser Name

First
Last
Please provide if purchased under different name.
Address *

Street Address

Address Line 2

City
State

Zip Code
Country
Primary Phone *

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### 		-
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Alternate Phone

### 		-
### 		-
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Email *
Best Time to Contact
Preferred Contact Method
 Phone 
 Email 
Was this purchased at Arwood's Furniture & Mattress?
 Yes 
 No 
Date of Purchase

MM 		/
DD 		/
YYYY
Item Manufacturer
Item Description
Item Serial Number
Please provide serial number if available.
Detailed Description of Service Issue:
Please provide a complete desricption of service issue
Service Issue Picture Upload:
Service Issue Picture Upload:
Please provide photos of furniture piece and service issue.
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