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Contact Information
First Name
*
*
Last Name
*
*
Phone Number
*
*
Email
*
*
*
Street Address
*
*
Suburb
*
*
State (If Applicable)
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Post Code
*
*
Country
*
Australia
New Zealand
Issue
Concern
Summary of question or concern:
*
*
When did you first notice a problem?
*
Does the mattress have any marks or stains?
Does the mattress have any marks or stains?
No
Does the mattress have any marks or stains?
Yes
Product Information
To assist you quicker please provide some some additional information related to your concern
Store of Purchase
*
Product Model
*
Invoice / Receipt Number
*
Product Size
Single
Long Single
King Single
Double
Queen
King
Super King
Other
Original Purchase Date
*
Have you read the terms and conditions of the warranty?
Have you read the terms and conditions of the warranty?
No
Have you read the terms and conditions of the warranty?
Yes
Are you the original purchaser of the product?
Are you the original purchaser of the product?
No
Are you the original purchaser of the product?
Yes
Attachments
Add proof of purchase and images of concern
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Play the audio code
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