BR1582 - Brighton Dresser Recall Form

BR1582 - Brighton Dresser Recall Form
Thank you for filling out the recall form online.

You will need to have access to the dresser to answer all of the questions.
We are tracking responses by email address. Please provide your email address before we continue. *
example@example.com

Please help identify whether your dresser is included in the recall by answering these questions.
Does your dresser match the photo and description in the recall notice and in the photo below? *

Yes No

There is a date of production label on the back of the dresser, near the top right corner.
Does the last line start with "Supp. PT. Domusindo Perdana" *

Yes No
Please call us at 888-859-2129 if you cannot locate the date of production label.

We have a few more questions about the label. Please take a photo of the label or write down the month and year on the first line.

Based on your answers, you do have a BR1582 Brighton 9 Drawer dresser.

Please fill complete the following information.
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
On approximately what date did you purchase your BR1582 Brighton 9 Drawer Dresser? *

Month Day Year
Date
Where did you purchase the dresser? Please enter the name of the retailer. *
How many BR1582 Brighton 9 Drawer Dressers do you have? *

Your dresser is included in the recall and must be anchored to the wall.

We will ship you a tip-over restraint kit at the address you provided. You will receive it within 10 days. The tip-over restraint kit includes installation instructions.
Would you like to have a service provider install it for you? *

Yes No
Please click the next button to continue
No

No
Dresser Included In Recall

Yes No
Send Replacement Restraint

Yes No
Schedule Installation

Yes No
Should be Empty:

Please click the next button to continue