Mattress Order Form

This is NOT an availability request. We will be placing the mattress order below and this order is non-cancellable and non-refundable. You understand that mattresses are boxed,crated and insured by the seller. Superbiz is responsible for processing the transaction through the Barter System only as per the trade association membership rules. Mattress condition and shipping are responsibility of the seller.By submitting this form, you accept these conditions.

Account Name:(required)
Name & Last Name:
Account #:(required)
Phone #:(required)
Cell #:
Email:
Type of mattres I'm interested: (required)
Other, please specify:
Generic brand I prefer:
Other, please specify:
Size:
Quantity:
Shipping Address:
Payment Information
Type of Card: (required)
Credit Card #:(required)
Expiration Date:(required)
CVV# (3-4 digits security code)(required)
Name on Card:(required)
Card Billing Address:(required)
Signature:(required)

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Note: Once the order is placed, please allow 4 to 6 Weeks for delivery. As soon as it is available, a Superbiz Trade Director will provide you with tracking delivery information.

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Mattress Order Form