ORDER FORM

Original Size:

  

Visco Size:

  

OR 

(do not choose both, either original or visco)

Name:

Daytime Phone #:

Address:

City:State: Zip:

E-mail address (required):

Note to the staff regarding your purchase:

Shipping and Handling

Inside California $24.95

Outside California $39.95

All standard size mattresses

will be shipped UPS,

 please open box

promptly upon receiving

to allow your mattress to relax.

Mattresses are final sales. Days End, Inc. cannot be responsible for your mattress if it does not fit.

 

5. Fax: to 951-694-4957

OR

 

 

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