Leather Italia USA Parts Request Form
Leather Italia USA Invoice #
*
Model Name / Number
*
Leather Name / Number
*
Frame
*
Select Frame
Reclining Sofa
Reclining Loveseat
Rocker Reclining Chair
Press Back Reclining Chair
Swivel Rocker Reclining Chair
Sofa
Loveseat
Chair
Ottoman
Other (explain in parts request)
Requested Part
*
Tag for PO#
Tag for Customer
Prefix
First
Last
Suffix
Retail Store Email Address
*
Retail Store Name
*
Retail Store Shipping Address
*
Street Address
*
Address Line 2
City
*
State / Province / Region
*
Postal / Zip Code
*
Country
*
Retail Store Phone
*
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Attach Photo
*
Attach Photo
Attach Photo
Attach Photo
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Your parts request will be emailed to Customer Service at Leather Italia USA and to your email address entered above. You will be contacted in the next two business days to confirm the parts request.