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Customer Intake Form
Please fill out the questions below and we can get back to you with a quote within 48 hours. We look forward to working with you!
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* Indicates required question
Email
*
Your email
Desired brand?
*
Sealy
BeautyRest
Serta
Sterns and foster
"Off" Brand
Other:
Required
Bed type
*
Memory Foam
Hybrid
Traditional
Bed Comfort
*
Soft
Medium
Firm
Top preference
*
Pillow top
Tight top
Other:
Bed size (king , queen etc) and Quantity
*
Your answer
Additional Accessories ?
box spring
Mattress protectors
Gel pillows
Sheets
Other:
Desired Unit Price
*
Your answer
Were you referred by someone?
*
Your answer
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