BEDHEAD ORDER FORM Url COMPANY NAME CONTACT NUMBER ORDER REFERENCE/ ACCOUNT DATE CONTACT PERSON PICK UP YES NO DELIVERY YES NO Local ground floor delivery including unwrapping & placement of bedhead behind mattress (but not bracket installation) $105 plus GST. Please contact us for a quote for delivery beyond 25km of Mulgrave, and/or 2nd floor delivery. DELIVERY ADDRESS DELIVERY INSTRUCTIONS SIZE SINGLE DOUBLE QUEEN KING HEIGHT (MM) BEDHEAD SHAPE MAIN FABRIC & COLOUR PIPING FABRIC WIDTH (MM) THICKNESS: 85mm or BEDHEAD STYLE (Plain or Walled/Deluxe) PIPING YES NO SPECIAL FINISHES/NOTES