Each Replacement Parts Order Form is only for ONE Product.
Please DO NOT submit multiple request for the same items in order to AVOID DELAYS in the process your request.
If you need parts from multiple products, please fill out a form for each individual Product as needed.
We will confirm that you have registered your product before we process your request for replacement parts.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Abbreviate State: NY
Your answer
Zip Code
*
Your answer
Phone Number
*
XXX-XXX-XXXX
Your answer
Email Address
*
Your answer
Products Name
Choose
Bamboo 3-piece Cutting Board Set with Stand
8 Bottle Bamboo Tabletop Wine Rack
3 Tier Bamboo Corner Shelf
Multi-functional 4 Tier Bamboo Bookcase
Multi-functional Bamboo Adjustable Laptop Desk
5.5' Children's Play Teepee
2-person Brazilian Style Cotton Hanging Tree Hammock
Moon Chair
Red Ant Folding Kids Camping Chairs
Green Frog Folding Kids Camping Chairs
Brown Monkey Folding Kids Camping Chairs
3 Seat Outdoor Porch Swing with Stand
Indoor/Outdoor Hanging Cotton Hammock Chair
10 Ft. W x 10 Ft. D Steel Gazebo with Mosquito Netting
Timber Valley 10" x 16" Dual Purpose Cedar Garden Planter Box & Storage Box
Timber Valley 10" x 16" Cedar Storage Box w./ Lid
Timber Valley 10" x 16" Cedar Garden Planter Box (Set of 2) & 9pc Garden Tool Set
Other
Product Model Number
*
Choose
MA311
MA330
MA331
MA332
MA333
MA611
MA621
MA631
MA633A
MA633F
MA633M
MA680
MA681
MA810
MA510
MA511
MA512
Where was this playcenter purchased?
*
BJ's Wholesale Club
WalMart
Wayfair
Hayneedle
Amazon
Other:
Date of Product Registration
*
Product must be registered within 30 days of purchase. If this is has not been completed, please do so, by registering on our website and emailing a copy of the reciept to
service@mid-america.biz
with your name for proof of purchase.
Your answer
Please create a LIST of parts needed including: part number, part name, quantity, reason for replacment (damaged or missing) Please press ENTER after each item to create a LIST format.
*
Example: LR275 Saftey Slat (1) missing
Your answer
Additional Comments (FROM CUSTOMER)
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