Price Request for US Delivery & Installation

Name:				Company:
Address:				City:
State:				Zip Code:
Tel:				Fax:
Email:
Shipping From:
Delivery address   Business: Residence:
Name:				Company:
Address:				Floor:
City:				State:
Zip Code:				Contact name:
Contact Tel:
Product Description:		Quantity:	Manufacturer:	Trucking From Factory?	If yes, please include origin zip code:	Weight Per Item:
Workstations:				Yes
Desks with returns:				Yes
Desks without returns:				Yes
Chairs:				Yes
Files:				Yes
Conference tables:				Yes
Visual boards:				Yes
Bookcases:				Yes
Occasional tables:				Yes
Other items:
				Yes
				Yes
				Yes
Delivery Conditions & Restrictions:
Loading dock:			No: Yes:
Walkup:			No: Yes:	Number of flights:
Long carry over 75':			No: Yes:	Distance from truck access point in feet:
Overtime delivery:			No: Yes:
Overtime installation:			No: Yes:
Accessible by 48' trailer:			No: Yes:	Factory ship date:
Deadline for delivery:			No: Yes:	Delivery deadline:
Special comments: