Quick Quote Form

1. Size:

Twin XL Full Queen

King California King Custom/Euro Size

2. Mattress Preferences:

Firm Back Support Medium-Firm Medium Plush

Latex Foam Memory Foam Hybrid coil-springs/foam All of the above

3. Adjustable Bed Option:

Electrically Adjustable Manually Adjustable Non-Adjustable No bed base/slats needed

4. Bed Frame Option:

I would like to purchase a bed frame I wish to use my own bed frame (our bed slats can fit into most bed frames.) I only need a mattress and bed slats (our bed slats come with optional legs, so a bed frame is not required.) I only want a mattress

5. What is your budget?

Mattress:	Adjustable or non-Adjustable Bed Suspension: (with optional bed legs)	Bed Frame:
None less than $500 $500-$1000 $1000-$1500 $1500-$2000 $2000-$2500 $2500-$3000 $3000-$3500 $3500 +	None less than $500 $500-$1000 $1000-$1500 $1500-$2000 $2000-$2500 $2500-$3000 $3000-$3500 $3500-$4000 $4000-$4500 $4500-$5000 $5000-$5500 $5500-$6000 $6000-$6500 $6500 +	None less than $500 $500-$1000 $1000-$1500 $1500-$2000 $2000-$2500 $2500-$3000 $3000-$3500 $3500-$4000 $4000 +

6. When do you want your bed? (We carry many items in stock, and some by special order only)

Now Within one month Within three months More than three months

7. Other comments or preferences? (for a more customized quote)

8. How do you prefer to receive your quote?

Email   email address:
Call me to discuss my options	Phone number 1: best time to call? Morning Afternoon Evening