Owner Registration

Please fill out the warranty information below as completely as possible.


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1. Name
 
 
 
2. Address
 
 
 
3. Phone & Email Address
 
 
   
4. Date of birth
/ /  

Reason For Purchase:

5. Why did you buy a mattress
6. Where did you hear about Park Place OR King Koil

Product Information:

7. Product purchased
/ /  
 
8. Size of mattress purchased
9. What other brands did you consider purchasing?
10. What were the top 3 reasons influencing your
brand/model choice?
11. Park Place dealer information
 
 
 
12. What were the top 3 reasons influencing your
Dealer choice?
   
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