Iris USA, Inc.

Request Replacement Parts

Please fill out the form below; fields labeled in blue are required. All submitted requests will be processed according to our replacement parts policy. All contact information submitted via this form will be used solely for the purposes of processing your request for replacement parts, and for no other purpose.

Contact Information
salutation and name		e.g., Mr. John Smith
address 1
address 2
city, state, zip/postal code
telephone number (day)
telephone number (evening)
fax number
email address
Replacement Part
product		e.g., MCS-303D
color
missing/damaged part		e.g., top drawer, casters
quantity
retailer
location of retailer (city/state)		include both city and state
reason for replacement		please choose one
If other, please enter here
Replacement Part
product		e.g., MCS-303D
color
missing/damaged part		e.g., top drawer, casters
quantity
retailer
location of retailer (city/state)		include both city and state
reason for replacement		please choose one
If other, please enter here
Additional Comments