Submit A Service Request
Please complete this form to submit a request for furniture repair service from FurnitureLand.
Name
*
Email
*
Phone
*
Address
*
Apt, Ste, Bldg
City
*
State
*
Select Your State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
Name Purchased Under or Customer ID (if different from your own)
Were the items originally Delivered or Picked-Up?
Delivered
Picked Up
Has the furniture been moved from its original location?
Yes
No
If so, where was the furniture originally delivered?
Delivery Date or Date Picked-Up (if you have it)
Item(s) that require service
Comments
*
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