Quote Request for Slumber Series

This is not an order.  It is the first step to placing an order, but we will not proceed without your explicit approval.  

Please fill out this form completely.  Know that any of the choices you select today can be changed, but we need this information to provide you the best possible price. When this form is completed, we will contact you with your price.  We do not distribute nor sell your contact information to anyone.

Standard "Full" Side closed Hi Side Bed Closed

Beds By George SLUMBER SERIES Quote Request. All fields with * are required All Slumber Series models are OAK with NATURAL finish, Straight head and footboards, and have Clear View doors. If other options are required, please exit this form and select the Dream Series. *Mattress Size Choose Size Std Twin (approx 36x76) Ext Twin (approx 36x80") *Safety Sides Select Door Height Standard Side Hi-Side *Sleep Surface Function Select Adjustability Option Fixed Height, Flat Bunkie Board Fixed Height, Adjustable Head (manual) Fixed Height, Adjustable Head and Foot (manual) HiLo, Full Articulation (electric) *Feet Select Feet Adjustable feet Casters (wheels), 3 inch Mesh Safety Canopy None YES: Red 724602 YES: Royal Blue 724600 YES: Bone 724616 YES: Beige 724603 YES: Grape 724613 YES: Charcoal Gray 724623 YES: Other (write selection in comments) Accessory  IV pole   Interior Padding  *I am a *  Parent   Caregiver   Therapist   Physician   Medical Personnel   Advocate   Potential User   DME   Dealer   Other  Name * First Last Quote/Job Reference Company Name Shipping Address * Street Address Address Line 2 City State / Province / Region Postal / Zip Code Antigua and Barbuda Aruba Bahamas Barbados Belize Canada Cook Islands Costa Rica Cuba Dominica Dominican Republic El Salvador Grenada Guatemala Haiti Honduras Jamaica Mexico Netherlands Antilles Nicaragua Panama Puerto Rico Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Trinidad and Tobago United States Argentina Bolivia Brazil Chile Colombia Ecuador Guyana Paraguay Peru Suriname Uruguay Venezuela Albania Andorra Armenia Austria Azerbaijan Belarus Belgium Bosnia and Herzegovina Bulgaria Croatia Cyprus Czech Republic Denmark Estonia Faroe Islands Finland France Georgia Germany Greece Hungary Iceland Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Macedonia Malta Moldova Monaco Montenegro Netherlands Norway Poland Portugal Romania San Marino Serbia Slovakia Slovenia Spain Sweden Switzerland Ukraine United Kingdom Vatican City Afghanistan Bahrain Bangladesh Bhutan Brunei Darussalam Myanmar Cambodia China East Timor Hong Kong India Indonesia Iran Iraq Israel Japan Jordan Kazakhstan North Korea South Korea Kuwait Kyrgyzstan Laos Lebanon Malaysia Maldives Mongolia Nepal Oman Pakistan Palestine Philippines Qatar Russia Saudi Arabia Singapore Sri Lanka Syria Taiwan Tajikistan Thailand Turkey Turkmenistan United Arab Emirates Uzbekistan Vietnam Yemen Australia Fiji Kiribati Marshall Islands Micronesia Nauru New Zealand Palau Papua New Guinea Samoa Solomon Islands Tonga Tuvalu Vanuatu Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Democratic Republic of the Congo Republic of the Congo Djibouti Egypt Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Gibraltar Guinea Guinea-Bissau Cote d'Ivoire Kenya Lesotho Liberia Libya Madagascar Malawi Mali Mauritania Mauritius Morocco Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone Somalia South Africa Sudan Swaziland United Republic of Tanzania Togo Tunisia Uganda Zambia Zimbabwe Country Do you have a forklift or dock? Select Y/N Yes No Is this a residential address? Select Y/N Yes No Phone Number * ### - ### - #### *Contact e-mail * Quotes are emailed to this address Comments Plan to submit to insurance Select Y/N Yes No Powered byEMF Online Form Report Abuse >