Service Request Please complete the fields below and a member of our Customer Service team will get back to you. CONTACT INFORMATIONRequester*Date*Order NumberAge of Piece?Delivery DateCustomer Name*Customer Address* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number*EmailLocation of piece (if different from above)ADDITIONAL INFORMATIONDescribe the issue*Please include all details regarding the condition of the piece.Is the piece set in a very sunny area or exposed to extreme sunlight?*YesNoN/ACould it be sun-bleached?*YesNoN/ADoes the piece of furniture get used daily or sparingly?*DailyWeeklyOccasionallyIs the piece a Thos. Moser Cabinetmakers product?*(We do not repair pieces that are not our product). YesNoIn the opinon of the customer, what is the overall condition of the piece?*PoorFairGoodVery GoodExcellentPhotos of PieceInclude any photos you may have that show the condition of the piece. Drop files here or Accepted file types: jpg, jpeg, png, gif, zip, rar, doc. NameThis field is for validation purposes and should be left unchanged.