Please completely fill out form below and press the submit button to email the form
to our customer service department. All items below must be filled out to properly
process your warranty request. If you are unsure about any of the questions below
please just reply unknown.
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First Name of Sleep Set Owner
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Last Name of Sleep Set Owner
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Name of person filling out this form
if different from Name Above
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Have you spoken to one of our Customer Service Representatives?
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Name of Customer Service Representative you spoke with?
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What was the date you spoke with Customer Service?
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Street Address
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City
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State
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Zip
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Email Address
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The Best Phone Number in Which to Reach You
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Best Time To Reach You
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Is your home with in 10 miles of our store?
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Please tell us which product(s) you are having a problem with:
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In order to accurately and quickly process your request, we
will need you to fill in the following information from the law tags* of both your
mattress and the box spring, even if on 1 piece is defective. *Law tags can be found
attached to the foot of the bedding
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Mattress Size
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Boxspring Size
(If you do not use a box spring, then please write "none used")
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Mattress Model Name
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Boxspring Model Name
(If you do not use a box spring, then please write "none used")
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Date Mattress Was Made
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Date Boxspring Was Made
(If you do not use a box spring, then please write "none used")
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Purchase Date
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Location Purchased From
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Mattresses
- Remove all bedding from Mattress
- Allow 3 hours after removing bedding to measure for Impressions
- When measuring, please make sure the sleeping surface is completely free of obstacles.
- Stand next to bedding when measuring, and do not put any pressure on the mattress,
as this may cause inaccurate results.
- Some contouring of the sleeping surface is normal as your mattress conforms to your
body over time
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Inspect your mattress and answer the following questions
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Does the mattress have stains or dirty areas?
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Does the mattress holes or rips in the fabric?
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Does the mattress a Law tag sewn into the sides of the mattress?
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Does the mattress springs poking through the fabric?
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Does the mattress have impressions or lumps in the sleeping surface?
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Does the mattress have sides collapsing or bulging out?
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Does the mattress have stitching unraveling?
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Does the mattress have handles torn?
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Other Damage or Information
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HOW TO MEASURE BODY IMPRESSIONS

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- Place a yardstick or broomstick across the body impression(s), (hip area is usually
deepest). Fig. (A)
- Using ruler, measure depth of impression from the deepest point of mattress surface
(not the deepest point of stitching) to edge of yardstick. Fig. (B)
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Using the Images Above Please indicate the Depth of the Impression and select the
area in which the impression is found. (If there is more than one Impression please
use the depth and location of the deepest one found)
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Box Springs/Foundations
- Remove Mattress from the Box Spring(s)/foundations
- Inspect Top, Bottom, and sides for damage
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Please indicate below what is wrong with your boxspring
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Please indicate below what type of support system you are currently using
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Thank you for contacting us about your warranty claim. We care about your concerns
and wish to address them quickly and efficiently.
To assist our servicemen in locating your home, please provide us with detailed
driving directions from the nearest highway or major intersection.
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I hereby attest that I have read my manufacturer's warranty card and the above Service
Call request form. All information about my sleep set filled out above is accurate
and true to the best of my knowledge.
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