Mattress Warranty Request Form 23/24
Mattress Warranty Request Form 23/24
Mattress Warranty Request Form
Name
Name
*
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Last
Address
Address
*
Street Address
Address Line 2
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Phone
Phone
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Your Email
Mattress model name
Foundation type/name
Size
Warranty from law tag and picture
Upload a File
*
Attach Files
Manufacture date from law tag
Purchase date
Dealer of foundation purchase
The Furniture Mall
other
Location of Purchase
Topeka
Olathe
Lee's Summit
Austin
other
if other please explain
As clearly and specifically as possible, tell us about your complaint.
If you are having problems with both the mattress and the box spring, describe all problems and indicate whether it pertains to the mattress or box spring.
If your mattress has deep body impressions, please measure the deepest one in the following manner: (1) place a string tightly across the bed, (2) place the end of a ruler in the deepest point and note its depth. It would be very helpful in expediting your claim if you would attach a picture of this measurement (sample picture attached
DEEPEST IMPRESSION
*
WHAT IS YOUR FRAME MADE OF?
*
Attach pictures that show the issue with your bed. For example if there is a tear, stain, body impression, please take a picture that accurately shows the issue.
*
Attach Files
Upload a File
Attach Files
Upload a File
Attach Files
Upload a File
Attach Files
Upload a File
Attach Files
Attach a picture of your bed frame showing the location(s) of supports
*
Attach Files
Upload a File
Attach Files
Upload a File
Attach Files
Have we replaced this bedding before?
*
Have we replaced this bedding before?
Yes
No
If yes, please indicate when and for what reason
MUST UPLOAD A PHOTO OF YOUR SALES RECEIPT
*
Attach Files
Warranties do not cover comfort issues. They are designed to protect the consumer from manufacturing defects.
I consent that the information above is accurate and complete to the best of my knowledge. I further understand that even if my mattress and/or box spring is authorized for warranty replacement, it will have a final inspection by the store personnel. The final inspection will either take place on delivery of my replacement piece or when I return my defective piece to the warehouse. This final inspection will take precedence and could void my warranty replacement authorization.
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.
Todays Date
Todays Date
*
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MM
/
DD
YYYY
We are sorry that you have had issues with a mattress and/or box spring. We will do our best to help you solve any issues with the quality of this product and will evaluate this completed request with the manufacturer as soon as possible! You will be informed of how to best remedy your issues and if it falls under the coverage of the manufacturer’s warranty.
This is the description of your section break.