1. Fill in your dimensions:

Length 1

        Length 2

Bottom Width

Length A

Length B

Length C

Width 1

         Width 2

        Width 3

2. Select thickness (consider windows and/or cabinets):

Standard      6"

                        5"

                        4"

3. Select Type of Mattress:     Original Visco  

4. Name:

Daytime Phone #:

Address:

City:State: Zip:

E-mail address (required):

Notes:

Please review your drawing carefully.

Custom mattresses are final sales.

Days End, Inc. cannot be responsible for you mattress if it does not fit.

OR

5. Print and Fax: to 951-694-4957