Dealer Locator

Owner Registration

Please fill out the warranty information below as completely as possible.

*Indicates an answer is required

1. Name

2. Address

3. Phone & Email Address

4. Date of birth

*Date of Birth

/ /

Reason For Purchase:

5. Why did you buy a mattress

	Replaced old/worn mattress
	Purchased new furniture
	Wanted larger size
	Added new bed to household
	Had sleeping difficulties/pain
	Lifestyle change – marriage, Divorce
	Moved to a new home

6. Where did you hear about Park Place OR King Koil

7. Product purchased

8. Size of mattress purchased

9. What other brands did you consider purchasing?

10. What were the top 3 reasons influencing your
brand/model choice?

11. Park Place dealer information

12. What were the top 3 reasons influencing your
Dealer choice?

Park Place Corporation | Sleep Great. Live Well