CES Equipment Verification & Release Form

Directions: please complete all required fields below and submit completed form


Shipping
Date to Release Equipment *
Shipping Contact Number *
Shipping Contact Number
Shipping Location *
Shipping Location
Financial
$
Project Terms: 60% Deposit / 20% Due Upon Equipment Receipt/ Net 30 * Frieght to be added, NYS tax to be added where applicable **2% CC fee over $2,000.00 *
Tax Status *
Shipping Warranty: Upon delivery, all equipment must be inspected for damage. Any damage must be noted on the bill of lading, properly documented, and reported immediately. *
Signiture
I agree and understand that this document will serve as a written confirmation that the equipment corresponding to the project stated above and agreed to in the submittals is to be released on the date stated above at the above stated price. Please refer to the latest proposal and submittals for all project specifics. *
I agree and understand that this document will serve as a written confirmation that the equipment corresponding to the project stated above and agreed to in the submittals is to be released on the date stated above at the above stated price. Please refer to the latest proposal and submittals for all project specifics.