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RV Mattress Order Form |
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To submit
your order via fax or mail, please print |
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| Name _______________________________________________ | |
| Address _____________________________________________ | |
| City ____________ State ____________ Zip ________________ | |
| E-Mail Address________________________________________ | |
| Daytime Phone (_____) _____-____________ Ext ______ | |
| Fax (_____) _____-____________ | |
| Payment Method (Check One): VISA __ MASTERCARD __ DISCOVER __ | |
| Credit Card No. ______-______-______-______ Exp. Date ________ | |
| *Payment by
personal check may require additional time to process. |
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Length (in inches)
__________ |
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Front Length (in inches) ________ Back Length (in inches) ________ Width @ Center (in inches) ______ Width @ Sides (in inches) _______ Thickness: 5in: ___ or 7in. ___ Quantity ________ |
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We will contact you by phone or e-mail to confirm your order when it is received. If you have any questions about measuring your mattress, please call us for instructions at 1.800.797.3401. |