Delivery Form

Delivery Form
Today's Date

MonthDayYear
Date
Delivery Date (Closed Sunday's)

MonthDayYear
Date
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Pickup Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Delivery Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are there stairs or an elevator

YesNo
What floor?
Is your item manufactured by Broyhill*
Transaction number if applicable
Please select item(s) if not on the list please type in the Special Delivery Instructions box.
Special Delivery Instructions
Please select a delivery timeframe*
We accept debit card, credit care, cash and online payments.

Customer to measure rooms, doorways, hallways, and address anything that may obstruct the path of the movers.

Items that do not ift or do not meet your standards for any reason will incure a redelivery fee back to the place of origin. (Under no circumstances is your delivey free).

Neither the store or the delivery service is responsible for mercandise that does not fit.

Customer is responsible for payment of delivery and/or returning merchandise to the retailer.

Floor model furniture is purchased at your own risk. We do not assume, nor are we responsible for the condition prior to your delivery.

SHOULD YOU HAVE ANY QUESTIONS OR NEED ANY INFORMATION ABOUT YOUR DELIVERY, CALL OR TEXT 918 361-1694. THE STORE OR PICKUP LOCATIONS ARE NOT ABLE TO ASSIST YOU WITH DELIVERY INFORMATION.
Signature*

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