Please enter the information below and we will send you a quote to order your replacement parts.

Company Name:

First Name:... .... ......... Last Name:

Address:..... ......

City.................... ....... State: ... ..Zip Code:

Area Code: ........ Phone Number: ..Email:

Furniture Model Number ( if unknown, please email a picture along with your name to minniewkessler@aol.com ):

Replacement Part: Qty Needed:

Comments: