Houseware Package Order Form

Houseware Package Order Form

Delivery / Pick Up / Partial Pick Up
Exchange / Add On / Transfer
Turnover / Reschedule / Cancel
Your Tel: / Your Fax:
Your Email:
Property: / Apartment #:
Address:
City:
Customer: / Contact Name:
Billing Address:
Date Of Order: / Delivery Date:
Move In: / Move Out:
Furniture Company: / Lease Number:
Furniture Delivery Date: / A.M. / P.M.
One Hour Call Ahead: / Yes / No / Contact Phone #:
Apartment Size: / 1 Bed / 2 Bed / 3 Bed / 4 Bed
1 Bath / 2 Bath / 3 Bath / 4 Bath
Number & Size of Beds: / King / Queen / Full / Twin
Extras Required: / Vacuum / Microwave / Asian Package
Comforter Upgrade / Walkthrough / Lockbox
Maid Service: / None / Weekly / Bi-Weekly
Expected Rental Period:
Special Instructions:

Please email all orders to or send by fax. We shall reply with a confirmation number.