Absolute Comfort On Sale -- The Home of Memory Foam

Ultimate Sleep
400 Whispering Hills Rd
Boone, NC 28607
Phone: 800-508-1008
Fax: (901) 339-1339

Bill To: Ship To:
   
   
   
Email: Phone: Day (      )
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Quantity Size Description Unit Price Amount
         
         
         
         
Subtotal  
North Carolina Residents 6.75% Tax   
Shipping *
Total  
 
Sales Representative: ____________________________________

Invoice No: ______________________________________________

*If you are having an order shipped outside the Continental US, we will contact you with the exact shipping costs before sending it to you.

If Paying by Credit Card

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Card Number: __________________________________________

Expiration_________

 
Signature: ______________________________________________