Delivery Request

In order to proceed with your shipment to your new home, please fill out the delivery request form with your information. Once we receive your request we will start your delivery process. Refer to your contract guidelines about the delivery transit time and windows and/or accessorial fees such as stairs, long carry, and shuttle truck if any applies. For more information and FAQs. for your delivery day and to avoid any delays, please read this articles from one of our affiliated agents. “How to prepare for a smooth delivery”.

Customer First Name

Customer Last Name

E-mail:

Job/BOL Number

1st Available Delivery Day?

Street Address

Address Line 2

City

State

ZIP Code

Phone:

Alternate Phone:

Access for a 53ft tractor and trailer?

Yes No

If no direct access for a 53ft tractor and trailer, a smaller truck (shuttle) will be required to access your new home. Shuttle fee will varies accordingly to shipment size. The minimum fee is $350 for up to 300 cubic feet, there after is $0.75 per each additional cubic feet

Stairs at Delivery?*

Yes No

How Many Steps, if applicable?

1 flight (up to 12 steps) of stairs is included free of charges. Any additional Flight will be charge $50.00.

Any Long Carry beyond 75ft involved?*

Yes No

Up to 75ft from the truck to your front door is include. Every additional 75ft will be charge $50.00

Please Sign Here

I agree that if any of the information above is not accurate, I will be charged on the delivery day for any accessorial fee previous described on my Estimate Cost of Services if applicable.

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