Warranty Registration Form
Thank you for you purchase. Please register each item purchased. If you purchased more than 5 pieces, please hit submit and return to the form to fill it out again for the remaining pieces.
Enter 10 digit number on Warranty Hang Tag ID for Piece 1:
example 6615105001
Piece 2:
Piece 3:
Piece 4:
Piece 5:
Title *
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Retailer Purchased From *
Please rate the store you purchased from *
Needs Improvement
Knowledge and training of Salesperson
Condition of furniture at delivery
Helpfulness at time of delivery
Set-up by retailer
Knowledge and training of retailer delivery and customer service personnel
Product selection at retailer
Fabric selection at retailer
Time from order to delivery
Please Enter Comments
What room was the furniture purchased for? *
Was this item a special order? *
Never submit passwords through Google Forms.
This form was created inside of Intermountain Furniture. Report Abuse