Dispatch Order Form

Order Name*

COUNTRY + CONTAINER TYPE + MONTH + DATE - e.g. USA CERVICAL NOV 2023

SELECT USER

PLEASE SELECT DELIVERY ADDRESS

DATE ORDERED*

Date

Form Calculation Widget (DATE STRING)

MONTH

YEAR

DISPATCH DATE*

Date

CERVICALS*

	Carton QTY	QTY	Volume (m³)
Type A - Large Cervical Neck Cushion
Type B - Medium Cervical Neck Cushion
Type C - Small (Pediatric) Cervical Neck Cushion

SHARED STOCK

	Carton QTY	QTY	Volume (m³)
Type E - Large Lumbar Orthotic Cushion
Type F - Medium Lumbar Orthotic Cushion
Type G - Small Lumbar Orthotic Cushion
Type H - Thoracic Orthotic Cushion
Type I - Thoracic Retrainer Cushion
Type J - Posture Regainer Cushion
Type J - Strap Accessory
Type L - Thoracic Support Kit (includes Compression Extension)

SCOLIROLLS

	Carton QTY	QTY	Volume (m³)
Type K - Lumbar Scoliroll
Type N - Thoracic Scoliroll
Type O - Thoracic Scoliroll Base (pack of 2)

STB BLOCKS

	Carton QTY	QTY	Volume (m³)
Triangles - Twin Pack (180125110)
Rectangle 1 - Rectangle Block (36018050)
Rectangle 2 - Rectangle Block (36018090)
Rectangle 3 - Rectangle Block (360180140)
Dome 1 - Dome Block (36018050)
Dome 2 - Dome Block (36018075)
Dome 3 - Dome Block (360180100)
Trapezoid 1 - Trapezoid Block (36018050)
Trapezoid 2 - Trapezoid Block (36018075)
Trapezoid 3 - Trapezoid Block (360180100)
TTS TABLE Translation Table
TTS FRAME Translation Table Frame

TOTALS

	Carton QTY	QTY	TOTAL VOLUME (m³)
TOTAL

Total

Shipping

Remaining volume: (m³)

Comments

Approved by*

This document is for orders between Denneroll Industries International and Dot Design Group only. QTY’s and information contained on this form are not binding until agreed upon and confirmed by both Denneroll Industries International and Dot Design Group. last updated 2022-06-08

	Carton QTY	QTY	Volume (m³)
Triangles - Twin Pack (180125110)
Rectangle 1 - Rectangle Block (36018050)
Rectangle 2 - Rectangle Block (36018090)
Rectangle 3 - Rectangle Block (360180140)
Dome 1 - Dome Block (36018050)
Dome 2 - Dome Block (36018075)
Dome 3 - Dome Block (360180100)
Trapezoid 1 - Trapezoid Block (36018050)
Trapezoid 2 - Trapezoid Block (36018075)
Trapezoid 3 - Trapezoid Block (360180100)
TTS TABLE Translation Table
TTS FRAME Translation Table Frame