Now that you've enjoyed your new Comfortaire mattress, tell us about yourself and how we can make your purchase experience even better. Simply fill in the brief registration form completely and give us your comments. Your sleep partner will love you for it and so will we! Thank you.
 
 
Fill out this easy online registration card to cover your new Comfortaire mattress with the best warranty in the industry.
Warranty Code:   
(Refer to upper right corner of warranty card.)

First Name: 
 
Last Name:   
Address:   
Address 2:   
City:    
State:   
Zip Code:   
Phone:      
Fax:    
E-Mail Address:   
Date Purchased:    (MM/DD/YY)  
Date Delivered:    (MM/DD/YY)
Mattress Model:   
Mattress Model Name:
(If "Other" selected) 		 
Mattress Size:   
Store Name:   
Who initiated  
this purchase?:  		   
Price:   $
How long did you spend shopping for this purchase?
 
  Male Female  
Number In Household:   
 
Using the numbers below, please list in order of importance what factors most influenced your purchase of a Comfortaire bed?
  1. Recommended by friend
  2. Advertisement
  3. Recommended by store
  4. Individual support
  5. Warranty
  6. Past experience with Comfortaire
  7. Back / Sleep Problems
  8. Did not have a bed /
    Old bed worn out
Where did you hear about Comfortaire? 
   Doctor
 Local Advertisement
 Internet
 National Advertisement
 Local Store
 "The Price is Right"

My age group is: 
 Under 21
 40 - 60
 21 - 40
 Over 60

My occupation is: 
 Office Worker
 Professional
 Factory Worker
 Retired

My annual income is: 
 Under $30,000
 $30,000 - 44,999
 $45,000 - 90,000
 Over $90,000

Comments: 
 

 
 

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