MOLDER SPEC & FREIGHT FORM

MOLDER SPEC & FREIGHT FORM

To complete your molder order, this form is required. Your order will be shipped based on the Molder Model, Power Requirements, & Freight information provided. If you have any questions feel free to contact us Monday - Friday @ 800-258-1380 or 603-732-0219
CONTACT INFORMATION
Contact Name *

First Name Last Name
Company Name - Enter contact name if no company name *
CHOOSE YOUR MOLDER & POWER REQUIREMENT

Our molders are Motor Voltage Specific; if you're not sure what your power is, consult your electrician before placing your order.

NOTE: Model 209 requires a dedicated 20 AMP circuit.
Molder Model & Motor Voltage *
FREIGHT INFORMATION

Freight quotes will be based on the information provided below. Inaccurate information may result in a delivery delay, and/or additional charges for accessorials. Any additional cost will be at the customer's expense. If you have any questions feel free to contact us.
Delivery Address Type - Commercial is ONLY industrial areas. All others are Residential *

COMMERCIAL RESIDENTIAL
Are there any Delivery Restrictions? - If YES, please list below in comment box. *

YES NO
Is an appointment needed? - Someone has to be there and be able to unload a pallet *

YES NO
What are your Business Hours? *

: Hour Minutes AM/PM Option
Until
until : Hour Minutes AM/PM Option
Do you have a Loading Dock? *

YES NO
Is a Lift Gate Needed? Pallets weigh 200+ pounds. If you have a fork lift, or are willing to cut the shrink wrap off and unload the boxes from the pallet, a lift gate will not be needed. *

YES NO
Contact Name for the Driver *

First Name Last Name
Contact Phone Number for the Driver *

Area Code Phone Number
Comments: Please provide any information needed for the freight driver and quoting purposes (Ex. Government, School, Construction Site, Locked gates, security checkpoint)
Should be Empty:

MOLDER SPEC & FREIGHT FORM

CONTACT INFORMATION

FREIGHT INFORMATION