Forms
Regal Custom Delivery Services
Delivery Detail Form
For in home deliveries, Please Fill out the form.
Today's Date:_______________________________
Delivery Date:________________________________
Fax to:_________________________________
Order #_________________________ Quote#____________________ Contact Name:_______________________________
Delivery Address:_________________________________________________ Phone#___________________________________
________________________________________________________________ Fax #_____________________________________
________________________________________________________________ Pick-Up Phone#__________________________________
Pick Up Address:___________________________________________________ Delivery Phone#__________________________________
____________________________________________________________________
____________________________________________________________________
Install Detail:
House? Apartment? Stairs? Width_________ Flights?____ Landing Size______
Business? Elevator? Freight Elevator? Height_________ Depth_______ Width________
Doorways:
Number of Doorways?__________________ Height_________________ Width_____________
Accessibility to Residence:
Driveway: Straight? Narrow? Incline/Decline? Steep?
If no driveway available or if not accessible please advise distance from stopping____________________________________
____________________________________________________________________________________________________
Streets? Narrow? Wide? Incline/Decline? Low Trees?
Should Item be Uncrated? Assembled? Dispose of Packing?
Will there be someone to inspect delivered items?________________
Items:_____________________________________________________________________________________
____________________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
____________________________________________________________________________________________
Freight:___________________ COD:___________________ Stairs:_________________________
Insurance:_________________ Fuel Surcharge:____________ Total:_________________________
Bill To:______________________________________________
____________________________________________________
____________________________________________________
***Additional charge for upstairs or elevator: $150.00***
**If additional insurance is required on insurance certificate a minimum charge of $250.00 will be incurred**
Most deliveries are scheduled for deliver 10-14 days after pick-up. All deliveries are subject to weather delays and or truck size and load capabilities in that area. In addition, truck accessibility must be available in the delivery area. If truck access is unavailable, then all items will be shipped to the nearest receiver at "no cost" to Regal Custom Delivery. If there are any delays, our office will contact the client/customer. ***Note*** any change to an existing quote regarding (i.e. description, size, value, quantity, of items to be delivered change of original delivery, address change of location, i.e. upstairs/downstairs) will effect overall price at time of delivery and null original quote void. Quotes are only valid for 45 days.
***When confirming a quote, please sign, date and fax back to Regal Custom Delivery.**By signing this confirmation constitutes a contract between client & Regal Custom Delivery Services.
Confirmed By:_____________________________________________________
Date:______________________________