Shipping Address (No P.O. Boxes)
Number and Street (required)
City (required)
Country (required)
State/Province (required)
Zip Code/Postal Code (required)
Receiving Contact (required)
Receiving Phone Number (required)
Federal Taxpayers ID (TIN or EIN) (required)
*Must be filled out if shipping address is different than billing*
Equipment is going to ship palletized by common carrier.
**THIS SECTION MUST BE FILLED OUT**
Do we have to take an appointment for delivery of the equipment?
YesNo
Do you have a loading dock?
YesNo
Do you have a FORK LIFT AND PALLET JACK to unload?
YesNo
Can you accommodate access for a 53' truck?
YesNo
Is the delivery address a job site?
YesNo
Is the delivery address a military base?
YesNo
Special Delivery Instructions