Smiling delivery men with truck

Receiving Request

Receiving Information
Expected Ship Date (mm/dd/yyyy)
Customer/Designer Information
Company Name
Address
City
State
 Zip
Phone
Fax
Designer Name
E-mail Address
Cell Phone
Delivery Address/Client Information
Name
Delivery Address
City
State
 Zip
Phone
Cell Phone
E-mail Address

Please list Item#/Quantity/Description/Manufacturer/Carrier/Acknowledgement # for each item below or fax a complete list of items to 410-604-0057.

Item 1.
Item 2.
Item 3.
Item 4.
Item 5.
Item 6.
Item 7.
Item 8.
Item 9.
Item 10.
Special Instructions
(Check all that apply)

Deliver Upon Arrival
Hold in Box
Call Upon Arrival
Store*

Inspect Immediately
No Inspection
Assembly Required

*Complimentary storage for 14 days. | Freight charges must be prepaid.
You must agree to the Terms and Conditions.I have read and understand the Terms and Conditions.
Please print this page with your responses before submitting form.