Delivery Information Form Your Designer Account Information Company: Designer Name * First Name Last Name Designer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Designer Phone (###) ### #### Designer Cell (###) ### #### Designer Email Job Name and Address Job Name First Name Last Name Job Address Address 1 Address 2 City State/Province Zip/Postal Code Country Job Phone (###) ### #### Job Email Purchased From: Recieve from: Pick Up from: Supplier/Manufacturer: Supplier/Manufacturer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Supplier/Manufacturer Phone (###) ### #### Supplier/Manufacturer Email Please Answer the following questions: We will not schedule a delivery or contact your Recipient until your items have been received and inspected and you have signed our Release Authorization Form. Bill Services to: * Designer Recipient Schedule Delivery with: * Designer Recipient Estimated Date of the P/U or Receipt: MM DD YYYY Estimated Date of Delivery: MM DD YYYY Items to be Delivered: Please fill in the PO #, MFG NAME, QTY, STYLE #, and Item Description, all separated by a comma. Put subsequent items on a new line. List Your Special Delivery Information:
