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Pattern Identification Request Form

 
 
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Customer ID:

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First Name:
Middle Initial:
Last Name:
Street Address:
Street Address 2:

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City:
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We're sorry - your browser doesn't support the Pattern Identification Request Form. Please follow the directions below to send us images of your pattern.

Please email your images to research@replacements.com

Please include the following in your email. If you don't know the following, that's ok! Anything you can provide may help us identify your piece.

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* Please add at least one pattern before submitting.

* Please complete the required fields in each pattern before submitting.