Note: Credit Card charges post as Paul's S E Arizona RV Rentals

RV Mattress Order Form
To submit your order via fax or mail, please print out this order form, fill it out and mail or fax it to: Mattress Solutions 460 E Hwy 82. Huachuca City, AZ 85616 Fax: 1-520-459-4075
	Name _______________________________________________
	Address _____________________________________________
	City ____________ State ____________ Zip ________________
	E-Mail Address________________________________________
	Daytime Phone (_____) _____-____________ Ext ______
	Fax (_____) _____-____________
	Payment Method (Check One):VISA__ MASTERCARD__ DISCOVER__
	Credit Card No. ______-______-______-______ Exp. Date ________ 3 digit V code from back of card _________ Your Signature _____________________________________ Mattress Type (Circle One) RV/Tuck Sleeper OR Sleeper Sofa
	Payment by personal check may require additional time to process. Once order is placed, it cannot be cancelled since the mattress is "Custom Made" to your dimensions. Delivery time is approx 9 to 28 days from confirmed date of order. 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 1-877-728-5778.