Delivery & Pick-Up

Date		On Account
C.O.D.			Yes No
Account #
Ticket #
Name		P.O. #
Home Phone		Cell Phone
Deliver to Address
City		Subdivision
Requested Delivery Date
Requested Delivery Time	Between and
Material to be Delivered
	Directions		Special Instructions
IMPORTANT NOTE
IN THE GARDEN LANDSCAPING MATERIALS IS NOT RESPONSIBLE FOR DAMAGE TO DRIVEWAY OR OTHER PROPERTY BY SUBMITTING THIS FORM, PROPERTY OWNER ASSUMES ALL RISK AND DAMAGE TO HIS/HER PROPERTY

* = Required fields