Email Address

Today's Date (MM/DD/YYYY)

In order for your limited warranty to be valid, you must be the original consumer (purchaser) and have purchased your mattress set from an authorized dealer. Complete this form in full; you will have to provide a copy of the original receipt as well. Without this information, your claim cannot be processed. All adjustments are subject to factory inspection of returned pieces. You may mail the copy to the address here or bring it with you to the store.

1. Specific product name as shown on label affixed to surface or border of your mattress:



2. Date of Purchase (MM/DD/YYYY):

....Retailer Name

3. Provide the following from law label affixed to your mattress and/or
... box spring:

.........Warranty

.............. Style

................Size

Date of Delivery

4. Are mattress and box spring a matching set? Yes No
If no, please provide the brand name of both the mattress and the box spring and the approximate age of both



5. Describe Your Frame

What letter from the drawings below A B C D

If wood, how many slats

If metal, how many slats How many legs



6. Has your product ever been replaced or repaired Yes No

If yes, when and why?



7. How many times has your mattress been turned? (see warranty card
for details)

First 6 months of use 6 months to present

8. Is merchandise soiled, stained, or spotted in any way Yes No

If yes, please describe source and size of stain



9. Is sleep set utilized in spare bedroom Yes

Continuous use Yes

10. Describe the possible defect you see in the mattress or box spring. If body impressions/sagging, Click Here for instructions for measuring the depth of the impression. This information will open up in a separate window.

In order for certain items to be considered manufacturer's defects, they must be reported in a reasonable time period.

Mattress Defects:

Quilting / Stitching ............ Structural Sagging

Excessive Depression . .... Odor

Lumpy ............................. Torn

Bent Border Wire .............. Soiled / Stained

Overall Tailoring................ Coil Out

Noise .............................. Other (Explain Below)

.....Top Measurement

Bottom Measurement

Explanation



Box Spring Defects:

Soiled / Stained ......,......... Noise

Depressions .Measurement

Odor .............................. , Loose Coils

Weak Support ................., Broken Slat

Torn ..............

Overall Tailoring..............,.. Dust Cover

Other (Explain Below)

Explanation



If identical materials are not available at the time of repair or replacement, the manufacturer reserves the right to substitute materials of equal quality.




NOTE: If Casabella cannot locate proof or purchase, customer must present valid receipt within 10 business days of purchase for service / return.