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Service/Replacement Parts Form

Please include all information to avoid unnecessary delays.
Account Name: Requested By:
Mailing Address: Shipping Address:
City
City
State
State
Zip
Zip
Phone Number: - - Fax Number: - -
Date: Purchase Order #:
Date Purchased: Customer Name:
Style Number: Fabric:
Reason for Replacement
Send to the attention of:

Please fill this form out completely. Our system does not allow us to enter the order without the above required information. If any of the above information is not supplied, Cross Creek Furniture will make a responsible attempt to get the required information. If you do not respond within 48 hours, your part order will be placed in your file without being processed. We regret any inconvenience this may cause. Cross Creek Furniture strives to process and ship your order in a timely manner.


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