Part Order Form

Thank you for the purchase of your Home Styles product. We are appreciative of your business and hope you will get years of use and enjoyment of your product. We take great pride in the design and manufacturing of our products but realize that mistakes do occur in this process that might result in missing or defective parts. We, therefore, do extend a limited warranty to cover such occurences.

To ensure the accuracy and timely replacement of parts, please complete this order form with the requested information. Please note items marked with an asterisk are required to process your order.


Home Styles Product Model Number -- If you know the model number of your Home Styles product, please enter in the box provided:
Model #
Do you need Assembly Instructions e-mailed to you? Yes No
Name of Individual and Complete Address to which your Home Styles product was originally shipped:
* Name
* Street Address
* City		*State	* Zip
* E-Mail
* Phone
* Please provide the Part Needed by referencing its corresponding letter on the assembly instructions for the product, then briefly describe the reason for needing each part.
Part 1		Part Description
Reason for Needing

Part 2		Part Description
Reason for Needing

Part 3		Part Description
Reason for Needing
* If you need replacement Hardware, please descibe the pieces you need.
Description		Reason for Needing
Description		Reason for Needing
Description		Reason for Needing
Please let us know where you purchased the product:

Please provide the CO number from the Packing Slip:

Comments:

* Ship-To Address for Requested Parts
	Check here if same as above
If different, please provide the complete Ship-To address:
Name
Street Address
City		State	Zip

Enter Code: