Cabinet Delivery Request - Big Foot Moving

Email*

Dealer

Contact Name*

First Last

Manufacturer

Amount of Cabinets*

Job Name

Delivery Address

Delivery Address*

Street Address Floor City State / Province / Region ZIP / Postal Code Country

Elevator?

Jobsite Phone #*

Alternate Phone*

Date RCVD by Big Foot Moving

Preferred Jobsite Delivery Date (1st Choice)

Preferred Jobsite Delivery Date (2nd Choice)

COD Information

Special Instructions

What is 2 X 2?*

Please enter a number from 4 to 4.

CAPTCHA

Declared Value of Shipment	Actual Cash Value (ACV) Premium Zero Deductible	Full Replacement Value (FVP) Premium Zero Deductible	Full Replacement Value (FVP) Premium $250 Deductible
$6,000.00	$60.00	$100.00	$75.00
$10,000.00	$80.00	$125.00	$95.00
$15,000.00	$100.00	$150.00	$115.00
$20,000.00	$115.00	$175.00	$135.00
$25,000.00	$130.00	$200.00	$155.00
$30,000.00	$145.00	$250.00	$190.00
$35,000.00	$160.00	$300.00	$225.00
$40,000.00	$175.00	$350.00	$260.00
$45,000.00	$190.00	$400.00	$295.00
$50,000.00	$205.00	$450.00	$330.00
$60,000.00	$220.00	$500.00	$365.00
$70,000.00	$235.00	$550.00	$400.00
$80,000.00	$250.00	$600.00	$435.00
$90,000.00	$275.00	$650.00	$470.00
$100,000.00	$300.00	$700.00	$505.00
$150,000.00	$425.00	$775.00	$540.00
$200,000.00	$550.00	$850.00	$575.00
$250,000.00	$675.00	$925.00	$610.00

Declared Value of Shipment	STORAGE -Actual Cash Value (ACV) Premium Zero Deductible	STORAGE – Full Replacement Value (FVP) Premium Zero Deductible	STORAGE -Full Replacement Value (FVP) Premium $250 Deductible
$6,000.00	$6.00	$12.00	$10.00
$10,000.00	$10.00	$20.00	$15.00
$15,000.00	$15.00	$30.00	$22.50
$20,000.00	$20.00	$40.00	$30.00
$25,000.00	$25.00	$50.00	$37.50
$30,000.00	$30.00	$60.00	$45.00
$35,000.00	$35.00	$70.00	$52.50
$40,000.00	$40.00	$80.00	$60.00
$45,000.00	$45.00	$90.00	$67.50
$50,000.00	$50.00	$100.00	$75.00
$60,000.00	$60.00	$120.00	$90.00
$70,000.00	$70.00	$140.00	$105.00
$80,000.00	$80.00	$160.00	$120.00
$90,000.00	$90.00	$180.00	$135.00
$100,000.00	$100.00	$200.00	$150.00
$150,000.00	$150.00	$300.00	$225.00
$200,000.00	$200.00	$400.00	$300.00
$250,000.00	$250.00	$500.00	$375.00