CONFIRMATION FORM

Confirmation Form

Quote number: *

Full name: *

Email address: *

Phone number: *

Personal or Company use: *

Full company name:

Company registration number:

Accounts Department

Full name: *

Email address: *

Phone number: *

Company name and invoice address: *

Payment option: *

Confirmation of items to be supplied: *

Changes / amendments:

Can you accept an alternative similar replacement if necessary? *

Delivery / Collection

Delivery date: *
Standard delivery times – 9am – 4pm. Please note, all other specific times to be quoted / priced separately.

Collection date: *
Standard delivery times – 9am – 4pm. Please note, all other specific times to be quoted / priced separately.

Please let us know if you wish to collect and self return: *

Full delivery address with postcode: *

Name and telephone number of person on site for delivery: *

Is the collection address and person on site the same as delivery details?

Full collection address with postcode:

Name and telephone number of person on site at collection:

Which floor level will we deliver/collect to? *

Is there a lift? *

What are the dimensions and weight restrictions of the lift?

Parking restrictions (please indicate as appropriate):

Other parking restrictions:

Delivery/collection vehicle dimensions restrictions:
Height: 3.5mWidth: 2.5mLength: 8.5m

Is there an archway or tunnel?

Please provide more details:

Special instructions (are there any other restrictions or special instructions our delivery drivers should be made aware of?)

Please provide more details:

Please advise below where our vehicle can park to minimise the risk of a parking penalty notice being issued as these costs will be passed on to the client:

If you have any observations or comments, please let us know below:

I have read and agree to the website and quote accepted terms and conditions *

quote

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