Furniture Form

Please complete this Furniture Delivery Form.

Company Name:
Contact:
Phone:
Alt Phone:
Address:
City:
State:
Zip:
Best Time To Contact:

Standard Delivery Charges are to the 1st threshold and/or with a freight elevator to the customer's office.

NO public elevator use is allowed for furniture delivery.

Delivery Site Characteristics**

Please check if applicable

Site ready for Immediate Delivery

After hours delivery required

Location at a residence

Dock Access

Freight capable elevator?

Stair carry required?

Number of flights

Certificate Of insurance required?

Union Laborers required?

Need a call 24 hours in advance?

**Delivery Site Characteristics prices vary. We will contact you with that fee.

Terms:
This estimate is based on the job site conditions provided. Any variations may warrant additional charges. Once set-up, product is not returnable. A minimum charge of $95 re-delivery will apply for 2nd attempts will apply. Refused set-up orders are subject to freight and product re-stocking charges based on the product conditions. Customer will be required to sign a proof of delivery upon completion. Customers MUST check the product for any and all damages prior to freight company leaving. Signing the POD indicates the delivery was accepted and the sale is final. Any and all discrepancies with the services provided must be noted on delivery sign off form as well as calling our office at 888-777-7359. Destinations outside of our published zone descriptions are subject to non-standard pricing and services. Certain set up and deliveries quotes takes up to 24 hours.

Please fill in initials and date in the field below as your confirmation of the above information:

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Phone: 888-777-7359 Fax: (603) 742-9993 Email: info@relyco.com Address:121 Broadway Dover, NH 03820