• Name *
• Date of Purchase *
• Phone *
  ### - ### - ####
• Email *
• Address *
• City *
• State *
• Zip *
• Check items that apply: *
  I have read and understand the Warranty in the link above.

  My mattress is on a foundation built by Charleston Mattress or a flat surface platform.

  My mattress is free of staining and not soiled.

  For Queen Mattress Sets - I have a proper center support leg on my bed frame (wood or metal).

  For King Mattress Sets - I have a head to foot center support bar with and two center legs on my bed frame (wood or metal).

  I have put a straight edge across the body impression and it measures 1.5 inches deep or more.
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