Designer Agreement

Designer Agreement

Authorizing Client's Information

Name *

First

Last

Date *

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Standard Valuation (Please Choose One) *

Basic Value Protection ($0.60/lb)
Full Value Protection (Billed In Addition $0.75 per $100 in value)

This will be the standard form of valuation on any move or delivery unless sent in writing before the job starts.

I Authorize The Following Individuals To Schedule/Book Any Job On Behalf Of My Company And Myself:

Point Of Contact

Name *

First

Last

Phone *

Email *

Mailing Address The Same As Above? *

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