JB Wholesale Roofing & Building Supplies, Inc.
DATE
2/8/2010
CONTACT NAME
CONTRACTOR'S NAME
TEL.#
PROPERTY OWNER'S NAME
TEL.#
DELIVERY ADDRESS
CROSS STREET
DAY OF DELIVERY
[SELECT]
ASAP
Will Notify
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
TIME
DRIVEWAY
STEEP
/
LEVEL
DIRT
/
PAVED
LADDER ACCESS
ROOF LOAD
[SELECT]
YES
NO
ONE / TWO / THREE STORY
[SELECT]
1
2
3
EVE HEIGHT
CONVEYER / CRANE
[SELECT]
CONVEYER
CRANE
PARAPET WALL
YES
NO
GROUND DROP
[SELECT]
YES
NO
OUR FORK / CUSTOMER FORK
[SELECT]
OUR FORK
CUSTOMER FORK
PITCH
GENERAL INSTRUCTIONS