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DELIVERY INFORMATION FORM

Step 1: Contact Information

First name

Last name

Email

Best Phone Number

Step 2: Company Information

Company Name

Address

Address 2

Department (If Applicable)

City

State

Zip Code

Step 3: Logistical Information

Are there any sharp turns?

Are there any narrow hallways?

Will an approx. 8 ft plug be able to reach the outlet where you want the machine?

Is there Cell Service where the machine is located?

Is there 4" of space form the wall to the back of the machine?

How many doorways will the machine need to pass through, and how wide are they?

What are the dimensions of the doorways? (Width/Height)

Step 4: Additional Details

Please Specify Any Additional Details, Questions or Comments Below

Thank You for Submitting, Someone will be in contact soon!

MAIN OFFICE

W184 S8372 Challenger Dr

Muskego, WI 53150

262-679-1328

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