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PRODUCT CATEGORIES: AIR BEDS SOFTSIDE FLUID BEDS MEMORY-CELL® BEDS GEL BEDS NATURAL LATEX BEDS INNOCOIL BEDS ADJUSTABLE POWER BEDS WATERBEDS & ACCESSORIES CONVERT-A-BED® INFO BEDROOM FURNITURE STORAGE BEDS WATERBED FURNITURE SHEETS & COMFORTERS MATTRESS PADS, PILLOWS & TOPPERS BEDROOM ACCESSORIES NATURAL RESERVE ORGANIC ELEMENTS COLLECTION   Be Sure To "LIKE" Us On Facebook Congratualtions on your recent purchase. Please fill out the information below to validate your warranty. Personal Information First Name: Last Name: Street Address: Apt/Suite/Bldg: City: State: Please select OtherAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanYukonNunavut Zip Code: Home Phone: Email Address     Store Where Purchased: Store Name Store Address Store City Store Zip Store State Please select OtherAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanYukonNunavut Store Type Select One Furniture StoreDepartment StoreMattress StoreWaterbed StoreOver The PhoneInternetOther Product Information: Product description Product Size Western KingWestern QueenEastern KingEastern QueenRegularSuper SingleTwinN/A Date Purchased (mm/dd/yyyy) Other Information: How did you become aware of this product? Please Select One In-Store DisplayNewspaper AdRadioTVFriend/RelativeGiftPhysicianMagazine AdStore SalesmanFlyerInternetOther Which group best describes your household income? Please Select One Under $15,000$15,000-$19,999$20,000-$29,999$30,000-$39,999$40,000-$49,999$50,000-$74,999$75,000-$99,999$100,000-$149,999$150,000-$199,999$150,000-$199,999 What is the occupation(s) of the person(s) for whom this bed was purchased? Please Select One Administrative Clerical Craftsmen Dentist Physician Homemaker Professional Retired Sales Service Student Tradesmen Technician Upper Mngmt White Collar Other Which of the following health problem do you suffer most Please Select One Back ProblemsNeck InjuryArthritisInsomniaSleep ApneaFibromaelgiaBedsoresNo Answer What Other Mattress Types did you consider before purchasing this one? Main Reason You Purchased this Product Please Select One Reputation of ManufacturerPriceDual AdjustabilityComfortDealer ReputationHealthSalespersonAdvertisingWarrantyHad One BeforeStyle/DesignLiteratureQuality of Product Type of bed owned previously? Please Select One Air Foam Innerspring Water Other Additional Comments By clicking on "Submit" you are indicating that you have read and understand the terms and agreements contained within the warranty registration information you recieved with the product.