First Name *

Last Name *

Phone *

Email *

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

Where Did You Purchase Your Product *

Product Type *

Purchase Date *

What is the issue with the product? *

Is there anything else you'd like to mention?

Proof of Purchase *

Purchase receipt or a bank statement showing the purchase

Product Law Tag *

Image of product law tag intact on product

Photos of Product *

Product in full view without bedding, Close up view of the defective area, Base/foundation if you are filing a mattress claim