Online Warranty Registration

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Is this your first Simmons Purchase

If this is a replacement, are you replacing?

Why did you purchase a new bed at this time?

In which room will you use your Simmons mattress?

Did you intend on purchasing Simmons?

Which best described your family monthly income?

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Mattress Information

Model of Simmons Mattress Purchased?*

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Name

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Reason you chose Simmons (Tick 2)