Registration

Please retain your original purchase receipt for your warranty to remain valid.

First Name*

Last Name*

Address*

Address 2

City*

Province*

Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territories Nunavut

Postal Code*

Phone Number*

Email*

Age of Purchaser*

-- Choose one -- Under 20 21-25 26-30 31-40 41-50 51-64 65 or older

Gender*

Male

Female

Prefer not to answer

Preferred Language*

English

French

Product(s) Purchased*

Mattress

Tempur-Cloud® Model*

Tempur-Cloud

Mattress Size*

-- Choose one -- Twin Twin XL Double Queen King

Room Purchased For*

-- Choose one -- Master Bedroom Guest Bedroom Child's Bedroom Second Home Cottage Other

Purchased From*

Purchase Price*

Purchase Date*

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How did you hear about Tempur-Cloud®?*

-- Choose one -- Spouse, Friend, or Relative In-store Presentation or Product Information Television Radio Flyer/Magazine/Newspaper Internet Other