Service Claim Form

*Please fill out for all remakes, repairs, and or service claims. We will need this to open your file.

First Name *

Last Name *

Phone *

Address *

Province *

City *

General Purchase Date *

Postal code *

Location of the Blind or Shade

Living Room

Dining Room

Kitchen

Main Bedroom

Bedroom 1

Bedroom 2

Patio Door

Bathroom

Bonus Room

Basement

Other

Type of Blind or Shade

Faux Wood Blind

Wood Blind

Shutter

Cellular Shade

Roller Shade

Roman Shade

Woven Wood Shade

Dual Shade

Window Shading

Other

Please select the reason for remake that best describes the defect

Fabric or Slat Defect

Size is Incorrect

Wrong Color

Headrail or Bottom Rail is Defective

Parts/ Components are Missing or Broken

Does Not Raise or Lower

Ordered Features are Missing

Dealer | Customer Error

Damage in Shipping

Did not receive Complete Order

Other

Type of Service | Warranty Work

Limited Life Time Warranty (To be Approved by Manufacturer

Damaged from Manufacturer

Other

Upload Pictures or Video

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Additional Information

Signature

Clear

Request Date

Customer Consent

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