| Origin ZIP: | |
| Destination ZIP: | |
| Shipment Type: | |
| Sq. Yards (if rated by yard): | |
| Total Weight (lbs): | |
| Is this delivery to a flooring retailer that commonly receives flooring deliveries? | |
| Is this a delivery to a residence? | |
| Is this a delivery to a job site (schools, hotels, colleges, golf courses, etc.)? | |
| Is a liftgate required for delivery? | |
| Is any non-rolled flooring larger than a standard 4' x 4' pallet? | |
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