Assembly Concierge – Service Request Intake (with Stripe Deposit)

Secure booking • Fast, professional assembly
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Street Number/Street Name*

Apt # /Suite #

CityState / Province

Postal / Zip Code
State/Zip

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
HamptonStockbridgeMcDonoughAnother City
If "Another city", which one?
Source
Treadmill AssemblyFitness Equipment AssemblySmall AssemblyMedium AssemblyLarge AssemblyCustom Job (Quote Required)
No RushSame-day (+30)Next-day (+20)
Preferred Time*
Preferred Date*

MonthDayYear
Date
This job requires a custom quote.

Please upload clear photos and describe the item(s) you need assembled. Include:
• Brand and model (if known)
• Number of items
• Item size or complexity (e.g., large wardrobe, sectional, wall-mounted unit)
• Location where the item will be assembled (room, floor level, stairs)
• Any special requirements or time constraints

The more detail you provide, the faster we can send your quote.
Upload a Photo of the Item (Photo 1)

Upload your first photo. Additional photo boxes will appear automatically.
Cancelof
Upload Photo 2

Upload your second photo. Additional photo boxes will appear automatically.
Cancelof
Upload Photo 3

Upload your third photo. Additional photo boxes will appear automatically.
Cancelof
Upload Photo 4

Upload your fourth photo. Additional photo boxes will appear automatically.
Cancelof
Upload Photo 5

Upload your fifth photo. Additional photo boxes will appear automatically.
Cancelof
Upload Photo 6

Upload your sixth and final photo.
Cancelof
Notes for Worker (Gate code, parking info, etc)
Assembly Concierge

Welcome, {typeA26}!

Please complete the service request so we can review your details and secure your slot for Order {orderId}.

Step 1: Share your service details, photos, and notes.
Step 2: Submit the form to finish your request.
Outside Our Current Service Area

Submit the form and we’ll follow up with a custom quote within 1 business day if your request can be accommodated.
Treadmill AssemblyFitness Equipment Assembly (Quote Required)Small AssemblyMedium AssemblyLarge AssemblyCustom Job (Quote Required)
Pay in Full$25 Deposit
Pymntmethodhelper
Pymntmethodhelper2
Total
💬 Next-day service selected — your total includes the $20 rush fee.

Your project will be prioritized for completion tomorrow by our Assembly Concierge team.
💬 Same-day service selected — your total includes the $30 same-day fee.

Thank you for choosing Assembly Concierge — we’ll make sure your request receives priority scheduling today.
Price Helper
By booking with Assembly Concierge, you agree to the following terms:

Service Review Policy

We review each request based on the details and photos provided to confirm scheduling and service availability.

If more information is needed, we may contact you before confirming your booking.

Cancellations & Rescheduling

Cancellations or rescheduling with less than 24 hours’ notice may affect your appointment timing.
If you need to reschedule, please contact us as soon as possible so we can adjust your booking.

Payment Policy

Any deposit or balance, if applicable, will be handled outside this form after your request is reviewed.
By booking with Assembly Concierge, you agree to the following terms:

Cancellations & Rescheduling

Cancellations or rescheduling with less than 24 hours’ notice may affect your appointment timing.
If you need to reschedule, please contact us as soon as possible so we can adjust your booking.
City Page
Source
Same Day
Assembly Concierge
AmountChargedToday
RemainingBalance
depositLine
payment Type
TotalAmount
Area Tag
ISO Appointment Date

YearMonthDay
Date
CustomerPhoneE164
Please enter a valid phone number.Format: +10000000000.
StripeKeyCalculator
StripeKey
Should be Empty:

Welcome, {typeA26}!

Outside Our Current Service Area