Equipment Program Form
Questions? Reach out to Lori Ritter
IMPORTANT: You must have VP approval before completing this form. Upon submission, your VP will receive a copy. Please be sure your VP approves and is aware of this request ahead of submission. By clicking 'I understand', you are stating that you've completed this step.
IMPORTANT: Have you reached out to Lori Ritter, Program Manager - Strategic Accounts to discuss equipment availability and schedules. Do NOT commit to a schedule with the customer until you talk to Lori. By clicking 'I understand', you are stating that you've completed this step.
Customer Information
Project START Date
Project END Date
Please select 'Self-Transport' if you/and or another Betco employee will be transporting the machine to the job site. Select "Ship" if you need the CP30 shipped via carrier to the job site.
Self-Transport
Ship
Typically, we plan to deliver the equipment (1) one business day prior to the Project START date. If this is not acceptable, please indicate below.
Delivery/Job Site Information
Select Delivery/Job Site Time Zone
Receiving Hours - START
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Receiving Hours - End
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Appointment Required?
Yes
No
Lift Gate Required?
Yes
No
Night Work Lock-In Policy?
Yes
No
Special Receiving Instructions
Ex: Please deliver to the back of the warehouse at dock door #3
Is the pick-up site DIFFERENT from the delivery/job site?
Yes
No
Alternate Pick-Up Site Information
Pads, Product and Tooling will be ordered? Direct from Betco orders will ship from Betco WITH the CP30. If orders are shipping via distribution, the CP30 will ship separately from Betco, and you will be responsible for coordinating the shipment with distribution to ensure the order arrives at the job site on time.
Direct from Betco
Via Distribution
Product Quantities
Tool Quantities
Auto Scrubber and Burnishing Pad Quantities
Your Name
First Name
Last Name
Today's Date
-
Month
-
Day
Year
Date
Configurable list
*
Configurable list
*
Submit
Should be Empty: