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1. This piece of foam comes in one fixed size.

This piece of foam comes in one fixed size.
Quality	Price
Standard	$ 18.00
Memory Foam	$ 71.00
Outdoor Foam	$ 67.00

2. Number of pieces of foam being ordered:

3. The foam will be used as:	Head rest
	Other

4. How do you want the foam to feel:	Soft
	Medium
	Firm What is the difference?

5. Person's weight:	pounds
The weight of the person using the foam will affect if it feels soft, medium, or firm. Therefore we need to know the person's weight.

6. Please add any other information regarding the foams use: