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Service Request Form
Premium Care products offer a
7-YEAR Product Protection & Service Plan.
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First Name
Last Name
Street Address
City
Contact Phone
Email Address
Store and Branch of Purchase
Product Type
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Fabric
Leather
Synthetic
Purchase Invoice No.
Upload a File
File(s) size limit is 20MB.
Reason for Service Request
Cut
Other
Scratch
Scuff
Stain
For multiple reasons, hold down CTRL key and then select your choices.
Have you had your suite professionally cleaned?
-None-
No
Yes
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?
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