Warranty Parts Request

Order Number

Date purchased

Name(Required)

First Last

Email(Required)

Phone

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Description of issue / parts requested(Required)

When describing the issue, please use the orientation as if you are seated in your chair

Wood Type(Required)

Oak

Walnut

Blonde Walnut

Chair Type(Required)

Standard

Wide

Image upload

Drop files here or

Accepted file types: jpg, jpeg, gif, png, Max. file size: 24 MB.

Phone

This field is for validation purposes and should be left unchanged.