Your Bed Width:

*

*

*

Date

Name

Address - Street

Address - City

Postal Code

Email

Phone

Fax

39"      Twin

48"         3/4

54"   Double

60"    Queen

80"       King

Bed Length in Inches:

NO

NO

NO

NO

NO

Mattress Thickness (inches)

Box Spring Depth (inches)

Top Edge of Mattress to Floor (inches)

Bedding Colour Preference

Accessories wanted  -  If Available:

Bed Skirt

Throws 50” x 60”

Duvet Covers

Duvet Inserts

Sheet Sets

Cushions

Neck Rolls

Drapery Panels

Valance

Comments

.

Head Board:   YES

Foot Board:   YES

Bed Skirt:    YES

Wooden Side Rails To Show:   YES

Feather Bed Top:   YES

Do You Have:

To better assist you, please provide as much information as possible.

 

When you have finished filling out the form, press the Click To Email button at the bottom of the page.

 

Or, after filling out the form, you can print it and fax it to us or bring it into the store.  Our fax number is 613-269-3866.

 

If you visit the store in person, please bring the form with you, along with any paint and fabric samples that you wish to match to your bedding.