Movemasters Delivery Request

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All outstanding balances must be paid before scheduling delivery.

Email *

Designer Name: *

Designer Company/ Account Name: *

Designer's Phone Number: *

Are the items at Movemasters or do they need to be picked up at a different location? [IF ITEMS NEED TO BE PICKED UP AT A DIFFERENT LOCATION, PLEASE PROVIDE PICK UP ADDRESS ON THE ADDITIONAL NOTES SECTION AT THE BOTTOM OF THIS PAGE] *

Yes (The items are at Movemasters)

No (The items will need to be picked up at a different location)

Both (The items are at Movemasters and need to be picked up at a different location)

Delivery Address (Including City, zip code and unit number if necessary): *

List of Items to be delivered (Please include THE 4/5 DIGIT REFERENCE NUMBER, manufacturer, exact quantity of each item) [ *

Note: Should damage occur to your goods during the course of your delivery, Movemasters Inc reserve the right to fix or repair any item or to contract with repair professionals of our own choosing before any other repair service or remedy is utilized. If there is damage, this must be reported within 2 days of delivery otherwise a claim may be denied.

By Colorado Statute, movers liability does not exceed $0.60 cents per pound, per damaged article, unless additional valuation coverage is purchased. Would you like to purchase additional insurance for your items at a cost of $40.00 per $1,000 of declared value? (Ex: A declared value of $20,000 of coverage costs $800.00) *

Yes, I would like to purchase additional insurance for my delivery

No, I accept coverage at maximum valuation of $0.60 per pound per article. This coverage is included in the cost of your delivery

If you answered yes to the above question, what is your declared wholesale value of all Items to be delivered? Note: There is a $150.00 deductible for any additional insurance purchased. Regardless of declared value, Movemasters is not responsible for claim amounts that exceed the insured amount declared for delivery to Movemasters. We are unable to change insurance options after this has been dispatched.

Desired Delivery Date: *

I would like your soonest available date and time (we will email you our next available date/ time)

I would like to request a specific date and time

YYYY

Desired Delivery Time: (These are arrival windows, not exact times) *

9:00 AM - 12:00 PM (Noon) (Arrival window)

11:00 AM - 2:00 PM (Arrival window)

12:00 PM Noon- 3:00 PM (Arrival window)

2:00 PM - 5:00 PM (Arrival window)

Would you like us to BILL your firm or COLLECT (COD) from your client on the day of the delivery? If you are a new designer, Movemasters may require payment upon completion. *

BILL

COD

Homeowner's Name: *

Homeowner's Phone Number (or person's number who should be contacted when the crew is in route): *

Additional Notes/Information:

A copy of your responses will be emailed to the address you provided.

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