Employees
Store Number *
Associate Name
Associate Email
Customer First Name *
Customer Last Name *
Customer Street Address *
Customer Address Ext.
Customer City *
Customer State *
Customer Zip *
Customer Phone 1 *
Customer Phone 2
Customer Email
Order Number (Salescheck) *
Delivery Date Requested ... *
Job Type Choose Type Delivery Only Delivery and Assembly Assembly Only
Upstairs Y/N?
Merchandise Location Choose Location Store Customer Home Distribution Center
Item Number *
Item Description *
Item Number
Item Description
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