Name *

First Name

Last Name

Date *

MM

DD

YYYY

*

I've read and understand the terms & Conditions

I've read and understand the current tariff surcharges which may be subject to additional charges prior to shipping

I've reviewed all technical documents including custom drawings and confirm the product is suitable and meets the dimensions of my project

i've read and understand the safety information

I've read and understand the delivery requirements and will arrange to have a qualified person prepared to assess and sign for delivery