emily

First nameThis is a required field.

Last nameThis is a required field.

EmailThis is a required field.

Phone numberThis is a required field.

Order/Invoice number (found on the top right of your order)

Preferred form of contact?

Phone

Email

Product name/descriptionThis is a required field.

Delivery/Collection date

Description of issueThis is a required field.

Who assembled the item?

Myself

Barker & Stonehouse

Third Party

If you purchase a care plan, please provide your policy number

Did you purchase a care plan?

Yes

No

Submit

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