Internal Service Order Form
First Name
Last Name
Phone
2nd Phone
Email
2nd Email
Address
City
State
Postal code
Date of Purchase
manufacture
Ashley
Albany
Best Craft
Best HF
Cheers
Country Value
Door Couny/Great Lakes
Flexsteel
GE
Hammary
Jamison
Jofran
Lazboy
Other
Perdue
Riverside
Tempur Sealy
Southern Motion
Sunny Design
UltraComfort
Wolfcraft
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Wizard Service Number
Invocie Number
Serial #
Trouble Reported
Ex, which side of the item when you are looking at the piece of furniture - Left arm facing seat.
Was extended warranty purchased?
Yes
No
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This item was purchased in...
Furniture Showroom
Clearance department
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Model #
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