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Home / Release Request

Release Request Form

Release Request Form
( * ) - a required field
 
DATE: *TIME:
CUSTOMER NAME: *ACCOUNT #:
JOB (NAME and ADDRESS): *
ATTN :PHONE #: *
DATE NEEDED:FAX #:
* IF THIS RELEASE HAS BEEN REQUESTED BY ANY OF THE FOLLOWING VOUCHER COMPANY PLEASE MARK:
 B.D.I  N.B.C.OTHER:
ATTN:FAX #:
TYPE OF RELEASES : ( PLEASE MARK ):
 # 1 CONDITIONAL PROGRESS # 2 UNCONDITIONAL PROGRESS
 # 3 CONDITIONAL FINAL # 4 UNCONDITIONAL FINAL
THROUGH DATE : (REQUIRED FOR #1 & #2)
 
NOTE: If you are requesting a conditional progress AND/OR a conditional final AND the balance is zero (0), you will be issued the appropriate UNCONDITIONAL release form.
 
IF THE JOB IS NEW AND YOU HAVE NOT SUBMITTED PRELIMINARY INFORMATION PLEASE FAX OVER WITH THE RELEASE REQUEST. 
(PRELIMINARY INFORMATION IS REQUIRED TO COMPLETE ALL RELEASE REQUESTS)
 
DO YOU NEED THE MAKER OF THE CHECK TO BE FILLED IN ON RELEASE FORM ?
 Yes  No
IF YES, PLEASE GIVE US THE NAME:
DOES YOUR COMPANY NEED TO BE A PAYEE ON THE CHECK ( TWO PARTY CHECK)
 Yes  No
DOES YOUR RELEASE NEED TO BE PICKED UP AND SIGNED IN THE CORONA STORE ?
 Yes  No
DOES YOUR RELEASE NEED TO BE NOTARIZED ?
 Yes  No 
  
Please keep this form for future reference. If you need a new form, we will issue a new form.
  

RENO HARDWARE RELEASE DEPARTMENT
FAX / ANSWER MACHINE ( 818 ) 845 - 0583
24 HOURS A DAY 7 DAYS A WEEK

REV 6/20/2000

 
  
 
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