Freight Quote

Quote Requester Name

First Last

Requester Phone

Requester Email(Required)

Customer Name(Required)

First Last

Title

Company(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Product items & Quantity of each

Unloading(Required)

Dock Delivery

Lift Gate Service

Dock Delivery: Facility has a raised dock that can accommodate full semitruck with easy in/out access and has forklift for unload/unstack Lift Gate: No receiving dock and driver will remove items from truck and leave them curbside.

Is customer's facility easily accessible to a full-sized semi (up to 80' long)(Required)

Yes

In order to answer yes, can not block parking or need to be backed in/out of facility

Photo upload

Max. file size: 2 GB.

Please attach a photo of the delivery site from Google Maps or elsewhere. mark location if there are multiple entrances.

Website

Alternatively, provide link to Google Map image of delivery site

Other Service Options

Inside Delivery(Required)

Yes

Delivery team will bring product into the building – across the first threshold closest to the delivery drop point. Does not include lift-gate service.

White Glove(Required)

Yes

Unpack and move product to room of use, disposal of packaging debris. Does not include lift-gate service.

Building Type(Required)

Floor Number(Required)

Stairs(Required)

Yes

Hallways(Required)

Elevator(Required)

Yes

Guaranteed Delivery(Required)

Yes

Product must be delivered on a specific date.

Date(Required)

Remove and Dispose of Existing Exam Tables(Required)

Yes

Delivery Team will remove and dispose of exam tables at delivery point. Office staff must have tables cleaned and disinfected prior to arrival of delivery/removal team.

Number of Tables to be Removed(Required)

Please enter a number from 0 to 500.

Notes & Other Services

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Freight Quote

Brewer Freight Quote