Adjustable bed concern form

Simply complete the form below, and our team will review your enquiry and get back to you as soon as possible.

Adjustable Bed Concern Form

Please complete the form below to report a concern with your adjustable bed.

Fields marked * are required.

First Name *

Last Name *

Email Address *

Confirm Email Address *

Primary Phone Number *

Secondary Phone Number

Street Address *

Suburb *

State or Territory *

Postcode * Enter your four-digit Australian postcode.

Retailer Purchased From *

Date of Purchase Select the purchase date using the calendar. Dates are recorded as DD/MM/YYYY.

Adjustable Bed Model

Adjustable Bed Size

Invoice or Order Number

What Is Your Concern? *

Describe Your Concern *

When Did the Issue Begin? Select the date using the calendar.

Please upload clear photos showing your adjustable bed concern.

File Requirements

Upload up to four photos. JPG, JPEG or PNG only.

Maximum photo size: 3 MB each.

Proof of purchase: JPG, JPEG, PNG or PDF. Maximum 5 MB.

Photo 1

Photo 2

Photo 3

Photo 4

Proof of Purchase

Please confirm the following before submitting your concern.

I confirm that the information provided is true and accurate to the best of my knowledge.

I have read the Privacy Policy and consent to Slumbercare Bedding using my information to assess and respond to this enquiry.