e-Warranty RegistrationWelcome to Simmons E-warranty registration. Kindly click on the button below to begin your registration for the new Simmons product that you have recently purchased. The personal information you have submitted to us will be treated with the strictest confidence and in accordance to our privacy policy. Note: Only for mattresses purchased in MalaysiaPlease check (✓) the box before proceeding to register your e-warranty.* I have read and understood the warranty coverage.Personal InformationEmail* Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Last Address* Address Postal Code Phone*Simmons Product InformationPlease indicate the number of products you are registering:*12345678910Sales Bill / P.O. No.*Delivery Order No.Date of Delivery* DD slash MM slash YYYY Name of Store*Please select..Kuala Lumpur - Simmons Gallery Pavilion Kuala LumpurPenang - Simmons Gallery Gurney PlazaSarawak - Dreammaster Sleep GalleryJohor - Double Tree Furniture Sdn BhdKuala Lumpur - Forest FurnitureKuala Lumpur - Isetan The GardensJohor - Lionmas Furnishers (M) Sdn Bhd (JB)Johor - Lionmas Furnishers (M) Sdn Bhd (Segamat)Penang - M Haus Furniture (Bukit Mertajam)Penang - M Haus Furniture (Georgetown)Penang - M Haus Furniture (Ipoh)Johor - Perabot Lot Ten Sdn BhdSarawak - Sin Siang Hai Furniture (Bintulu) Sdn BhdOthers - Simmons e ShopOthers - Lazada/Shopee/Zalora/ePenfurnex/Vettons1st ProductProduct RangePlease select..BackCare® 2BackCare® 3BackCare® 4BackCare® 5BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AttractionBeautyrest® AzaleaBeautyrest® Black BrillianceBeautyrest® Black RadianceBeautyrest® CanberraBeautyrest® CareyBeautyrest® CarrissaBeautyrest® CelestineBeautyrest® CelticsBeautyrest® CharismaBeautyrest® ClarabelleBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® EastonBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® Indigo EliteBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LaceyBeautyrest® LouisaBeautyrest® Marina Bay SignatureBeautyrest® Marina Bay SuiteBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® MulberryBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® Recharge ValorBeautyrest® Recharge VantageBeautyrest® Recharge VigorBeautyrest® Recharge World Class Royal MontegoBeautyrest® Recharge World Class ValentineBeautyrest® RosehallBeautyrest® SophieBeautyrest® StaceyBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® WestburyBeautyrest® VisionBeautysleep® Discovery IBeautysleep® Discovery II2nd ProductProduct RangePlease select..BackCare® 2BackCare® 3BackCare® 4BackCare® 5BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AttractionBeautyrest® AzaleaBeautyrest® Black BrillianceBeautyrest® Black RadianceBeautyrest® CanberraBeautyrest® CareyBeautyrest® CarrissaBeautyrest® CelestineBeautyrest® CelticsBeautyrest® ClarabelleBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® EastonBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® Indigo EliteBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LaceyBeautyrest® LouisaBeautyrest® Marina Bay SignatureBeautyrest® Marina Bay SuiteBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® MulberryBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® Recharge ValorBeautyrest® Recharge VantageBeautyrest® Recharge VigorBeautyrest® Recharge World Class Royal MontegoBeautyrest® Recharge World Class ValentineBeautyrest® RosehallBeautyrest® SophieBeautyrest® StaceyBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® WestburyBeautyrest® VisionBeautysleep® Discovery IBeautysleep® Discovery II3rd ProductProduct RangePlease select..BackCare® 2BackCare® 3BackCare® 4BackCare® 5BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AttractionBeautyrest® AzaleaBeautyrest® Black BrillianceBeautyrest® Black RadianceBeautyrest® CanberraBeautyrest® CareyBeautyrest® CarrissaBeautyrest® CelestineBeautyrest® CelticsBeautyrest® ClarabelleBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® EastonBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® Indigo EliteBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LaceyBeautyrest® LouisaBeautyrest® Marina Bay SignatureBeautyrest® Marina Bay SuiteBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® MulberryBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® Recharge ValorBeautyrest® Recharge VantageBeautyrest® Recharge VigorBeautyrest® Recharge World Class Royal MontegoBeautyrest® Recharge World Class ValentineBeautyrest® RosehallBeautyrest® SophieBeautyrest® StaceyBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® WestburyBeautyrest® VisionBeautysleep® Discovery IBeautysleep® Discovery II4th ProductProduct RangePlease select..BackCare® 2BackCare® 3BackCare® 4BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AttractionBeautyrest® AzaleaBeautyrest® CanberraBeautyrest® CareyBeautyrest® CarrissaBeautyrest® CelestineBeautyrest® ClarabelleBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LaceyBeautyrest® LouisaBeautyrest® Marina Bay SignatureBeautyrest® Marina Bay SuiteBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® MulberryBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® Recharge ValorBeautyrest® Recharge VantageBeautyrest® Recharge VigorBeautyrest® Recharge World Class Royal MontegoBeautyrest® Recharge World Class ValentineBeautyrest® RosehallBeautyrest® SophieBeautyrest® StaceyBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® WestburyBeautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® CelticsBeautyrest® VisionBeautyrest® Black BrillianceBeautyrest® Black RadianceBeautyrest® Indigo EliteBeautysleep® Discovery IBeautysleep® Discovery II5th ProductProduct RangePlease select..BackCare® 2BackCare® 3BackCare® 4BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AttractionBeautyrest® AzaleaBeautyrest® CanberraBeautyrest® CareyBeautyrest® CarrissaBeautyrest® CelestineBeautyrest® ClarabelleBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LaceyBeautyrest® LouisaBeautyrest® Marina Bay SignatureBeautyrest® Marina Bay SuiteBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® MulberryBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® Recharge ValorBeautyrest® Recharge VantageBeautyrest® Recharge VigorBeautyrest® Recharge World Class Royal MontegoBeautyrest® Recharge World Class ValentineBeautyrest® RosehallBeautyrest® SophieBeautyrest® StaceyBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® WestburyBeautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® CelticsBeautyrest® VisionBeautyrest® Black BrillianceBeautyrest® Black RadianceBeautyrest® Indigo EliteBeautysleep® Discovery IBeautysleep® Discovery II6th ProductProduct RangePlease select..BackCare® 3BackCare® 4BackCare® 5BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AzaleaBeautyrest® CanberraBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LouisaBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® World Class Royal MontegoBeautyrest® Black BrillianceBeautyrest® Black RadianceBeautysleep® Discovery IBeautysleep® Discovery IIBeautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® VisionBeautyrest® CelticsBeautyrest® Indigo Elite7th ProductProduct RangePlease select..BackCare® 3BackCare® 4BackCare® 5BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AzaleaBeautyrest® CanberraBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LarkspurBeautyrest® LouisaBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® World Class Royal MontegoBeautyrest® Black BrillianceBeautyrest® Black RadianceBeautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® Indigo EliteBeautyrest® VisionBeautyrest® CelticsBeautysleep® Discovery IBeautysleep® Discovery II8th ProductProduct RangePlease select..BackCare® 3BackCare® 4BackCare® 5BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AzaleaBeautyrest® CanberraBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LouisaBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® World Class Royal MontegoBeautyrest® Black BrillianceBeautyrest® Black RadianceBeautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® VisionBeautyrest® CelticsBeautyrest® Indigo EliteBeautysleep® Discovery IBeautysleep® Discovery II9th ProductProduct RangePlease select..BackCare® 3BackCare® 4BackCare® 5BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AzaleaBeautyrest® CanberraBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LouisaBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® World Class Royal MontegoBeautyrest® Black BrillianceBeautyrest® Black RadianceBeautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® VisionBeautyrest® CelticsBeautyrest® Indigo EliteBeautysleep® Discovery IBeautysleep® Discovery II10th ProductProduct RangePlease select..BackCare® 3BackCare® 4BackCare® 5BackCare® LuxuryBackCare® Advanced S1000BackCare® Advanced S3000Beautyrest® AccoladeBeautyrest® AdelaideBeautyrest® AmeliaBeautyrest® ArcadiaBeautyrest® AsterBeautyrest® AzaleaBeautyrest® CanberraBeautyrest® Custom RoyalBeautyrest® Custom Royal DeluxeBeautyrest® Custom Royal PremierBeautyrest® DarwinBeautyrest® FairfieldBeautyrest® HurleyBeautyrest® InfluenceBeautyrest® Influence PlusBeautyrest® KatherineBeautyrest® LouisaBeautyrest® MatildaBeautyrest® MelbourneBeautyrest® MontelloBeautyrest® OleanderBeautyrest® PrescottBeautyrest® Prominence PlusBeautyrest® SydneyBeautyrest® TimelessBeautyrest® Ultimate CrownBeautyrest® Ultimate GrandeurBeautyrest® World Class Royal MontegoBeautyrest® Black BriallianceBeautyrest® Black RadianceBeautyrest® AceBeautyrest® Ace PlusBeautyrest® Ace PremierBeautyrest® VisionBeautyrest® CelticsBeautyrest® Indigo EliteBeautysleep® Discovery IBeautysleep® Discovery IIFeedback on Sales ServiceDid the retail consultant serve you well?* Yes NoIf no, please specify:*Was the retail consultant knowledgeable?* Yes NoIf no, please specify:*Feedback on Delivery ServiceDid the delivery personnel call before delivery?* Yes NoWas it delivered on time?* Yes NoIf no, please 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