Order Form

To place an order, please complete all sections of this form. You will be contacted by email (if provided) or phone to confirm receipt of your order.

If you have more than 6 pieces of equipment to be moved, please call 866-333-7363 for special pricing options.

Section A - Billing Information
Company Name
Address
City
State, Zip    
Phone Cell
Fax Email
P.O. # Contact Name
Section B - Equipment Origination
Company Name
Address
City
State,Zip    
Phone Cell
Fax Contact Name
Section C - Equipment Destination
Company Name
Address
City
State,Zip    
Phone Cell
Fax Contact Name
Section D - Equipment Information
Serial # Make Model Color Year Type

Terms & Conditions
All decked loads are subject to toll charges, overweight/oversize permit charges and other charges associated with decked units. If proper decking facilities are not provided at origination (pick up location), wrecker fees may apply. Customer may be responsible for shield, tire and axle removal charges. Dependable is not responsible for reinstalling shields. Units delivered to a vacant (no personnel) facility and no receiving signature is available, any damages or situations will not be the responsibility of Dependable Transport, Inc.

*By submitting this form, sender understands and agrees that the order is active and will be considered a confirmed placement of order.

*By submitting this form, sender agrees to all terms and conditions.