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Adams Furniture - Warranty Repair Form
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* Indicates required question
Email
*
Your email
Today's Date
*
MM
/
DD
/
YYYY
Customer Name
*
Your answer
Sales Order Number
*
Your answer
Customer ID
*
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Phone Number
*
Your answer
E-Mail Address
*
Your answer
Location of Purchase
*
Adams Furniture - 394 2nd Street, Everett, MA
Adams Furniture - Online
Other Location
Was sale delivered or picked up?
*
Delivered
Picked Up
Date of delivery or pick up
*
MM
/
DD
/
YYYY
Item experiencing problems
*
Furniture
Mattress
Other
Description of Problem
*
Your answer
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