TEST Drop Ship Request Form P.O. Number*COMNET Order NumberConsumer Contact Name* First Last Delivery Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Requested Date of Delivery MM slash DD slash YYYY Cell Phone*Email* Obstructions (please mark all that apply) Planking Mud Snow Debris Low Wires Sand Ice Gravel Please explain any other hazards that may affect delivery?Is this an Inside Delivery (uncrate and set in place)?*YesNo(Additional charges do apply)If yes - Please describe product being delivered: Number of steps that need to be traversed? (Type 0 if none)* Is a spiral staircase involved?YesNoAdditional Comments:Are there any height or width restrictions that will hinder delivery?*Is there a center island in the kitchen that will be in the way?YesNoName of Dealer* Submitted by:* An additional charge will be assessed if the information contained in this document does not correlate to onsite conditions. *Builder or Homeowner must have egress cleared of ice/snow/obstacles. Trevarrow, Inc. reserves the right to cancel a delivery that is deemed unreasonable or unsafe. Δ
