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Address

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Last name *

Company

Full address *

Apartment, suite, etc. (optional)

City *

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Postal code *

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Email

Phone

Order Number *

Date of Purchase

Pllease help us better understand the reason for your Cushion Quilt purchase.

Was this purchase for yourself or someone else?

It was for me.

It was a gift.

Other

What was your primary reason for buying the Cushion Quilt?

For Use on a Couch

For Use on a Bed

For Use Outdoors

For Guest Use

For Decorative Use

Primary Location for Use of the Cushion Quilt

In a House

In an Apartment or Condominium

In a Recreational Vehicle

In a Dormitory

On a Boat

Please send us a photo or photos of your Cushion Quilt in its intended use.

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