WARRANTY FORM

DATE

YYYY

DEALER NAME

Phone

(###)

###

####

Claim Info

SUBJECT TITLE

REPLACEMENT PO#

Dealer's PO# for Replacement

PATIO RENAISSANCE SALES ORDER/ INVOICE #

If Sales Order # is unavailable, please use Original PO#.

DATE OF PURCHASE

PLEASE NOTE: Claims after the first year of purchase from the manufacturer will require to pay any and all shipping charges for replacements

YYYY

MODEL NUMBER

Item SKU #. If more than 1 item, please include all. If it's PARTS samples, etc., please enter "ASST"

FRAME FINISH

If Applicable. If more than 1 item, please include all

CUSHION FABRIC NAME and FABRIC #

If Applicable, leave blank if not

SLING NAME and SKU#

If Applicable, leave blank if not

QUANTITY

If there is more than 1 item, please choose 'OTHER"

OTHER

If more than one 1 item, Please fill out this box

SHIPPING ADDRESS FOR REPLACEMENT

If not in U.S. Please fill it out to the equivalent address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

MESSAGE

Please state problem and description