E-Warranty | Simmons

Thank you for using Simmons E-warranty. Kindly fill up the following form for the new Simmons products that you have 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 Indonesia

Kindly register for Simmons warranty within 14 days upon date of delivery, you can register online via e-Warranty.

This warranty form is compatible with Mozilla Firefox, Google Chrome, Internet Explorer 7 & 8, Safari and Opera.
*Compulsory fields

Product Registration

Warranty Coverage

* I have read and understood the warranty coverage.
Note: Please check (✓) the box before proceeding to register your e-warranty.

Enter Email Address: *

Personal Information

Title: *

First Name: *

Last Name: *

House/Block No: *

Street Name: *

Unit No:

Building Name:

Postal Code:

Confirm Email: *

Phone No.: *

Alternate Phone No.: *

Simmons Product Information

Sales Bill / P.O. No.: *

Date of Purchase: *

Delivery Order No.: *
View Example

Date of Delivery: *

Name of Store : *

Product Model: *

Feedback on Sales Service:

Did the retail consultant serve you well? *

Yes No

If no please specify:

Was the retail consultant knowledgeable? *

Yes No

If no please specify:

Feedback on Product

Quality *

Below Expectation Meet Expectation Exceed Expectation

Variety *

Below Expectation Meet Expectation Exceed Expectation

Feedback on delivery service:

Did the delivery personnel call before delivery? *

Yes No

If no please specify:

Was it delivered on time? *

Yes No

If no please specify:

Did the delivery process meet your expectation? *

Yes No

If no please specify:

Were the delivery personnel professional and courteous? *

Yes No

If no please specify:

Did your mattress arrive with the Mattress Care Instruction Card? *

Yes No

If no please specify:

Do you have suggestion about improving our service or the content of our site?

Verification Code: *