Customer Service >> Warranty Registration
Warranty Registration

Personal Data Collection Statement:
All personal data provided below are subject to the willingness of customers. Information collected by Simmons Bedding & Furniture (HK) Ltd is exclusively for the puposes of warranty registration, marketing analysis and promotions. All information collected will be kept strictly confidential.

Fields marked with * are required.
A. Customer and Purchase Information
1. Name: *

(Mr./Ms.) (in BLOCK letters)

2. Home Address:*

3. Home Tel. No.:*

4. Mobile/Office No.:*

5. Email Address:*

6. Delivery Date:*

Day Month Year
7. Invoice No.:*

8. Merchant:

9. Product:*
Mattress Box Spring / Foundation
10. Mattress Model:
Buchanan NxG™ 250 Plush Connor
Rozelle Custom Royal® Deluxe Callisburg
Merriam Euro Top Merriam BackCare®3
Others (Please specify):
11. Size:*

 
B. Customer survey
12. Gender:
Male Female
13. Age Group:
<=25 26-35 36-45 =>46
14. Education:
Primary Secondary Post-secondary/College University
15. Occupation:
Owner/Sole Proprietor Professional Manager/Senior Executive
Technician/Engineer Clerk Blue Collar
Housewife Retired  
Others (Please specify):
16. Monthly Household
       Income:
<=$20,000 $20,001 - $30,000 $30,001 - $40,000
$40,001 - $50,000 =>$50,001  
17. Marital Status:
Single Single w/ child(ren)  
Married, w/o child Married, w/ child(ren)  
18. Reason(s) for the
       purchase
New Home Getting Married  
Upgrade sleep quality Replace old Simmons® product  
Replace non-Simmons® product (Please specify brand name):
19. Why choose
       Simmons®?
      (Can choose more than
      one option)
Brand reputation Comfort
Product quality & craftsmanship Promise of uninterrupted sleep
Recommendation from by relatives/friends Promotion
Convincing sales consultants Good experience w/ Simmons®
Others (Please specify):
20. Warranty Card No.*

 
 
Customer Service Hotline:  +852  2378 4848

 




 





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