Warranty Claim Submittal Form

Claim Date

Contact and Shipping Info

Name of Person Submitting this Form*

First Last

Email of Person Submitting this Form*

Furniture Owner*

First Last

Furniture Owner Customer Type*

Is Furniture Owner the Original Furniture Buyer?*

Who is Paying Breezesta the Shipping Charges?*

Shipping charges will be applied to approved claims and must be paid in order for the warranty repair or replacement order to be placed.

Where Purchased

Dealer/Store Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email Address if Different from Submitter (where to send shipment notifications)

Phone Number*

Ship To Name

First Last

Ship To Address*

Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email Address if Different from Submitter (where to send shipment notifications)

Phone Number*

Special Delivery Instructions

Guide to Description of Problem

The warranty policy, based on Breezesta’s sole judgement, is to repair or replace furniture. Most claim issues are satisfied with parts for repair. Parts are always more expedient and typically easier to assemble than an entire furniture item. Please identify the problem as best you can to ensure the right part(s) is ordered for you.

In the furniture industry, left and right arms and legs are identified as you are facing the furniture, not as you sit in it. Please provide the requisite photos for confirmation of left or right. Be specific as to the location of the damage on the furniture. If you have a copy of the installation instructions, write the exact part name in Description of the Problem field under Other. Otherwise, the terms below and an example of the Shoreline Adirondack Rocker parts are included here for guidance in identifying your damaged areas.

Arms: Left arm; right arm; under arm support.
Leg: Front or back leg; right or left leg; all legs; rocker leg.
Back: Back frame; left side frame; right side frame; back slats; back assembly.
Seat: Seat frame; seat slats; seat assembly; base assembly.
Spreader: A poly lumber piece added for support to horizontally connect each side or legs.
Table: Tabletop; table base spreader; end rail such as a perpendicular piece on a tabletop
Joint: Where 2 poly pieces are joined/ held together (For example: a crack at joint)
Hardware: Seat slings; swivel mechanism; screws; bolts; propel nuts.

chair diagram

parts diagram

parts list

Claim Information

I have read the guide to description of problems*

Yes

Please list the damaged items. Item numbers can be found at www.Breezesta.com, dealer’s purchase order or invoice or your receipt.*

Breezesta Item #	Product Name	Color	Quantity	Description of Problem

Description of Problems

Hardware pulling out
Hardware Rusted
Splintering, similar to wood
Right side (As you face the furniture)
Left Side (As you face the furniture)
Back Frame Crack(s)/ Break
Seat Frame Crack(s/ Break
Foot/leg crack(s)/ Break
Rocker leg crack(s)/break
Arm crack/break
Under Arm Support crack/break
Seat slats pulled out of frame
Spreader
Table bowing/warped
Color Faded
Swivel defective
Glide mechanism defective
Other (Free Text field)

Order Information

In order for your claim to be processed, please include the following items with this claim form:

Photos of the Damaged Item(s). Include photo of each furniture item in its entirety in order for us to determine the correct design version, as well as a close up of the damaged area. Please submit at least 2 photos for each furniture item being claimed.
Proof of purchase in the form of your customer receipt, dealer purchase order number, or dealer invoice.

File Uploads*

Drop files here or

Max. file size: 128 MB.

Dealer Purchase Order #

Dealer Invoice #

Date of Purchase or Date Shipped*

We hope you have been enjoying your Breezesta furniture and apologize for the issue that you have experienced. We look forward to resolving this claim for you. In order to prevent delays and enable us to process this claim, please make sure you have completed all required fields and uploaded proof of purchase and photos of each item with the damage clearly depicted. You only need to submit a claim form once, either emailed with the form attached or via this digital form.

If your submission is successful, an on-screen message will show that you successfully submitted. If it does not submit, please page to the top to look for required fields that were not completed or minimize file sizes uploaded. If you are not receiving a success message, please download the warranty claim form to use the electronic Word document. Email the completed form and requested information to CLUwarranty@keter.com.

Thank you for being a Breezesta customer!