Furniture Service Request - Fireside Office Solutions

Your Name(Required)

Company Name(Required)

Phone Number(Required)

Email(Required)

Building Name/Plant Number(Required)

Room/Station Number

End User

Location Address(Required)

Item Type(Required)

Quantity(Required)

Description of Issue(Required)

Your PO or BF Quote/Order #

Picture of Issue(Required)

Drop files here or

Max. file size: 64 MB.

Picture of Item(Required)

Drop files here or

Max. file size: 64 MB.

Picture of Tag

Drop files here or

Max. file size: 64 MB.

Additional Notes

Important: Service requests may result in charges depending on warranty status, product age, and the nature of the issue. Minimum trip charge of $75 will be applied.

I understand and acknowledge that this service request may incur charges.

Phone

This field is for validation purposes and should be left unchanged.