Moffett Delivery - Release Form

VISIONS LANDSCAPE SUPPLY 2411 N. ROCKY RIVER RD. MONROE NC 704-238-1900

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Moffett Delivery Release Form
This release must be signed and returned via the submit button at the bottom of the page before the delivery can be added to the delivery schedule.
If you need you material delivered anywhere other than the driveway you MUST be home.

* Indicates required field

Name *

First

Last

Delivery address *

City *

State / Zip Code *

Phone Number *

Alt. Phone Number *

Make sure we can reach you. *

** We must have direct contact with you via phone or in person the day of the delivery. If we cannot reach you before your scheduled delivery we will have to move or reschedule you delivery in order for us to stay on schedule and not disrupt other customers deliveries.**

Email *

Will the product be delivered on the driveway? *

Yes No

Where would you like the product to be placed? *

Do we have permission to drive on your lawn if needed? *

Yes No

Will the material need to be delivered to an area beyond the paved surface?(into the yard) *

Yes No

Do you have a clear path to the drop site? We require 10 feet wide path for our machine with no overhead obstructions) *

Yes No

Within the delivery path are there any of the following. *

Steep Grades, terrace or steps Low hanging wires or Tree limbs Septic tanks / Septic lines Irrigation lines and heads Flower / Mulch beds Shrubbery Basketball goals None of the above

Anything not listed above? *

If you would like to upload a sketch or photo, please do so here. *

Max file size: 20MB

Please read and sign below *

OUR VEHICLES AND EQUIPMENT ARE HEAVY AND OUR PRODUCTS ARE HEAVY. THE MOFFETT ITSELF WILL WEIGH 7000 POUNDS PLUS THE WEIGHT OF THE MATERIAL. THE TIRES ON THE MOFFETT ARE DESIGNED FOR OFF-ROAD USE BUT CAN BE USED FOR RESIDENTIAL DELIVERIES. BUT KEEP IN MIND THAT THE TIRES ARE AGGRESSIVE AND THE MACHINE IS HEAVY AND WILL RUT UP YOUR YARD AND WILL MARK UP YOUR DRIVEWAY WHICH NORMALLY WILL WEAR OFF THE DRIVEWAY AFTER A FEW RAINS OR USING A PRESSURE WASHER. VISIONS LANDSCAPE SUPPLY, ROCKY RIVER MATERIALS AND PRIVETTE ENTERPRISES CANNOT BE HELD RESPONSIBLE FOR ANY DAMAGES TO EXISTING DRIVEWAY SURFACES WHEN REQUESTED TO DELIVER MATERIALS TO THAT SURFACE. WE ALSO CANNOT BE HELD RESPONSIBLE FOR DAMAGE WHEN ASKED TO DRIVE BEYOND THE PAVED SURFACE WHEN REQUESTED BY THE CUSTOMER. WE WILL MAKE EVERY EFFORT TO DELIVER THE MATERIALS WITH CARE AND MINIMIZE DISRUPTION OF THE SURFACE. I HAVE READ AND FULLY UNDERSTAND THE GUIDELINES NECESSARY TO MAKE A SUCCESSFUL DELIVERY. IF YOU DO NOT UNDERSTAND AND AGREE WITH THIS DOCUMENT PLEASE STOP AND CALL OUR OFFICE TO ARRANGE PICKING UP THE MATERIAL. WE ASSUME NO RESPONSIBILITY OF DAMAGE TO PROPERTY. THE PURCHASER ASSUMES ALL RESPONSIBILITY FOR ANY INJURY OR DAMAGE TO DRIVEWAYS, SIDEWALKS, FENCES, STRUCTURES, UTILITIES, IRRIGATION, STRIP DRAINS, GUTTER, LANDSCAPING OR OTHER ITEMS ON THE PROPERTY. IF THE DELIVERY DRIVER BECOMES UNABLE TO MANEUVER THE COMPANY TRUCK/EQUIPMENT OFF THE PROPERTY A MINIMUM OF $450.00 PLUS ALL OTHER UNDETERMINED FEES ASSOCIATED WITH REMOVAL OF THE TRUCK / EQUIPMENT. THESE FEES WILL BE ASSESSED TO THE RESPONSIBLE PARTY.

I have read and completely understand the document above *

Yes

Typing your name will serve as your signature. *

We will keep a copy of this document on file at our office.

Submit

Serving the cities, towns and areas of Greater Charlotte:
Waxhaw, Weddington, Marvin, Indian Trail, Mint Hill, Midland, Matthews, Wingate, Monroe, Wesley Chapel, Concord, Huntersville, Harrisburg, Midland, Fort Mill, Indian Land, Tega Cay, Pineville, Ballantyne, Dilworth, Myers Park

Moffett Delivery Release FormThis release must be signed and returned via the submit button at the bottom of the page before the delivery can be added to the delivery schedule.***If you need you material delivered anywhere other than the driveway you MUST be home.***

Moffett Delivery Release Form
This release must be signed and returned via the submit button at the bottom of the page before the delivery can be added to the delivery schedule.
If you need you material delivered anywhere other than the driveway you MUST be home.