Odd Size Mattress

Customer Name*

First Last

Phone*

Mobile

Email*

Measurements

Length (in inches)*

Thickness (inches)*

Width (in inches)*

Type of Ticking

Upload a drawing or image of the mattress requested (if applicable)

By checking this box, I give my approval for Imperial Mattress & Furniture Co. to begin work. I also agree that my dimensions are correct. Imperial Mattress & Furniture Co. will not be responsible for errors after mattresses have been sewn.

I certify that all information on this form is the final measurement and design approved by me. Imperial Mattress & Furniture Co. has my permission to proceed with the work. I take full responsibility and will pay Imperial Mattress & Furniture Co. in full if I decide to change the measurements and specs after production has begun. You will be contacted via email or phone to confirm your identity and request, prior to work being done.

Agreement*

I agree

Any special details we should know?

Date*

Description

Measurements