CUSTOMER NAME

Address

City

State

Country

Phone *

Which piece(s) did you purchase ?

Set

Does the set match?

Mattress only

Boxspring Only

Is this your original purchase?

Yes

No

If no, date of exchange

Invoice #

Was the bed delivered by Mattress Fit?

Yes

No

If yes, date

Which products are you having issues with?

Mattress

Boxspring

Model Name

Firm

Plush

Pillow Top

Model Number

Size

Warranty Code from law tag

Manufacture date

How are the pictures being sent:

Printed

Emailed

Clearly and specifically explain your issue. If you are having an issue with both your mattress and boxspring please describe them separately.

Reminder, if the product is deemed defective, the cost of transportation for the replacement product is the sole responsibility of the customer (you). This is fully explained in the warranty card.

There are NO stains or soiling on my bed set. ( Required Signature )

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DATE

Signature

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