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Home Delivery And Installation Questionnaire
Please Note: This entire sheet needs to be filled out and faxed or E-mail to Barone Garden.
in order to be scheduled for delivery.
NAME:
DATE OF SALE:
PHONE # :
ADDRESS:
CITY: STATE: ZIP:
DELIVERY SITUATION:
QUOTED DELIVERY COST: $
PLEASE CIRCLE ONE
ARE THERE ANY STAIRS UP? YES NO IF YES, HOW MANY?
PLEASE CIRCLE ONE
ARE THERE ANY STAIRS DOWN? YES NO IF YES, HOW MANY?
PLEASE CIRCLE ONE
ARE THERE ANY SLOPES? YES NO UP OR DOWN?
PLEASE CIRCLE ONE
DO YOU HAVE A LEVEL SOLID FOUNDATION? YES NO
PLEASE CIRCLE ONE
DO YOU HAVE AN ELECTRICAL OUTLET NEAR BY? YES NO
APROX. HOW FAR IS IT FROM THE STREET TO THE FOUNDATION?
PREFERRED DAY FOR DELIVERY (PLEASE CIRCLE 2): MON THURS FRI SAT
WOULD YOU PREFER MORNING OR EVENING?
PLEASE GIVE A BRIEF DESCRIPTION OF THE SITUATION FOR DELIVERY. PLEASE NOTE ANY OBSTACLES
OR NARROW GATEWAYS THAT MIGHT INTERFERE WITH THE INSTALLATION.
Please be aware that Barone Garden will do everything possible to arrange the schedule according to you preferences;
however, do to unforeseen circumstances this is not always possible. Barone Garden does not run/connect any type of
electrical wiring, set foundations or clean areas for the installation. Please make sure that this is done prior to the scheduled
installation date. Also any difficulties at the delivery site not noted on this sheet may result in additional fees.
BY SIGNING BELOW THE CUSTOMER AGREES TO THE TERMS AND ACKNOWLEDGES THAT EVERYTHING
IS CORRECT.
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PRINT NAME:
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