KL Comforts / Makura Div.
Professional / Wholesale Re-order Form

This Re-order form is for health care professional and wholesale accounts who have ordered before.
For first time professional and wholesale orders please go to NEW Order Form.
For consumer orders go to Consumer Shopping Cart

Allow 1 to 2 weeks for delivery.
For rush shipments call 800-777-LANG or (714)530-3300
10 AM to 4 PM Pacific Time Mon - Thur or FAX (714)530-3400.

MAKURA Miracle Pillow ...... (Item #101)

Traditional Size - Professional Model.
Approx 14" x 21", includes 100% cotton pillow case.

Enter quantity of Makura pillows: 1: 2: 3: 4: 7: 14:

Additional Makura size pillow cases 100% cotton......(Item #102)

Enter quantity of additional Makura pillow cases:

Makura Miracle Pillow - Large ...... (Item #101XL)

Large Size - Professional Model
Approx 20" x 26",
fits 'standard' size pillow case (not incl.).

Enter quantity of MakuraXL pillows:
1: 2: 3: 4: 8:

Rejuvenator Deluxe ...... (Item #501)

Multi-adjustment cervical pillow. Approx 20" x 26",
fits 'standard' size pillow case (not incl.).

Enter quantity of Rejuvenator Deluxe pillows:
1: 2: 3: 4: 8:

Comfort Roll Pillow ...(Item #401)

Natural buckwheat support pillow.
Approx 6" x 16", includes Navy blue 100% cotton slip cover.

Enter quantity of Comfort Roll pillows:
1: 2: 3: 4: 7: 14:

Additional Comfort Roll slip covers (Item #402)
(Navy blue 100% pima cotton)

Enter quantity of additional Comfort Roll slip covers:

Extra Buckwheat hulls ...... (Item #hulls)

Double Cleaned Buckwheat hulls.

Extra Buckwheat Hulls

Enter quantity of 1 lb. buckwheat hull bags.


Customer Number:
  (If you don't know your customer number 
  please enter your name and company/clinic name.)

             Phone:      

    E-mail Address:
       E-mail Name:

Enter additional comments here (such as change of shipping address, etc.)

SUBMIT ORDER

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KL Comforts / Makura Div. Professional / Wholesale Re-order Form

KL Comforts / Makura Div.
Professional / Wholesale Re-order Form