Customer Service Form
Simply Discount Furniture
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Invoice No.
Incident Date
*
-
Month
-
Day
Year
Date
Phone Number
*
Email
*
Date of Purchase
*
-
Month
-
Day
Year
Date
Date Received
-
Month
-
Day
Year
Date
First date you know of damage
*
-
Month
-
Day
Year
Date
Pick up or Delivery Date of Merchandise
-
Month
-
Day
Year
Date
Describe the damage
*
Did you purchase a Guardian protection extended warranty
*
Yes
No
Upload a photo of the damage
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