Dains Delivery Work Order

Date *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

1. Designer's Name
*This question is required.

2. Your Client's Delivery Information *This question is required.

Name
Address
City
State
Zip
Phone Number

3. Who should we call 30 minutes before delivery *This question is required.

Contact Name
Contact Phone Number

5. Is the furniture going to be delivered or picked up from Dains Delivery ? *This question is required.

6. Items to be delivered or picked up

Please obtain information from page 1 of the receiving report sent by email when the order was received.

If you are expecting any additional furniture before the delivery, please list it as DUE IN in the Date Received
   box, what the items are and who the manufacture is.

   *This question is required.

Space Cell	Date Recd.	Quantity and Description	Manufacture	Weight	Location	Main Floor, Second Floor or Lower Level?
A	A: Date Recd.	A: Quantity and Description	A: Manufacture	A: Weight	A: Location	A: Main Floor, Second Floor or Lower Level?
B	B: Date Recd.	B: Quantity and Description	B: Manufacture	B: Weight	B: Location	B: Main Floor, Second Floor or Lower Level?
C	C: Date Recd.	C: Quantity and Description	C: Manufacture	C: Weight	C: Location	C: Main Floor, Second Floor or Lower Level?
D	D: Date Recd.	D: Quantity and Description	D: Manufacture	D: Weight	D: Location	D: Main Floor, Second Floor or Lower Level?
E	E: Date Recd.	E: Quantity and Description	E: Manufacture	E: Weight	E: Location	E: Main Floor, Second Floor or Lower Level?
F	F: Date Recd.	F: Quantity and Description	F: Manufacture	F: Weight	F: Location	F: Main Floor, Second Floor or Lower Level?
G	G: Date Recd.	G: Quantity and Description	G: Manufacture	G: Weight	G: Location	G: Main Floor, Second Floor or Lower Level?
H	H: Date Recd.	H: Quantity and Description	H: Manufacture	H: Weight	H: Location	H: Main Floor, Second Floor or Lower Level?
I	I: Date Recd.	I: Quantity and Description	I: Manufacture	I: Weight	I: Location	I: Main Floor, Second Floor or Lower Level?
J	J: Date Recd.	J: Quantity and Description	J: Manufacture	J: Weight	J: Location	J: Main Floor, Second Floor or Lower Level?
K	K: Date Recd.	K: Quantity and Description	K: Manufacture	K: Weight	K: Location	K: Main Floor, Second Floor or Lower Level?
L	L: Date Recd.	L: Quantity and Description	L: Manufacture	L: Weight	L: Location	L: Main Floor, Second Floor or Lower Level?

7. Click here to list additional furniture to be delivered or picked up

8. Additional Items to be delivered (please obtain information from page 1 of the [scan] sent via email when the item was received) *This question is required.

Space Cell	Date Received	Quantity and Description	Manufacture	Weight	Location
M	M: Date Received	M: Quantity and Description	M: Manufacture	M: Weight	M: Location
N	N: Date Received	N: Quantity and Description	N: Manufacture	N: Weight	N: Location
O	O: Date Received	O: Quantity and Description	O: Manufacture	O: Weight	O: Location
P	P: Date Received	P: Quantity and Description	P: Manufacture	P: Weight	P: Location
Q	Q: Date Received	Q: Quantity and Description	Q: Manufacture	Q: Weight	Q: Location

8. Is there existing furniture to be moved within the home?
If so, please list furniture to be moved in the "Special Instructions" below. *This question is required.

9. Is there furniture to be picked up from another location?
If so, please list the furniture to be picked up in "Special Instructions" below. *This question is required.

10. Location *This question is required.

Name
Address
City
State
Zip
Phone Number

10. Location *This question is required.

Name
Address
City
State
Zip
Phone Number

10. If a bed is being delivered and set up, is there an existing bed in the room *This question is required.

11. Preferred Delivery Day(s) *This question is required.

Space Cell	Monday	Tuesday	Wednesday	Thursday	Friday
AM	AM: Monday	AM: Tuesday	AM: Wednesday	AM: Thursday	AM: Friday
PM	PM: Monday	PM: Tuesday	PM: Wednesday	PM: Thursday	PM: Friday

12. Are there any special instructions we may need to know regarding the delivery?

13. For an email confirmation of your submission, please enter your email address below This question requires a valid email address.

Dains Delivery Work Order

(PLEASE INCLUDE ALL ITEMS ON THIS WORK FOR DELIVERY)