Site Survey

Name (as written on the sales agreement)*

First Last

Email*

Delivery Address*

Street Address Address Line 2 City State ZIP Code

Distance: Truck parking to spa destination in feet:*

Spa destination:*

Spa destination height above ground level:*

Path to destination:*

Dirt Walkway
Grass Walkway
Gravel Walkway
Paved Walkway

Check all that apply

Narrowest point in walkway (inches)*

Lowest height clearance (inches)*

Is there a slope/grade? Briefly describe:*

Is the tub being installed into a deck or structure of any kind?*

Yes
No

Are there steps? If so, how many/how wide?*

Are there overhangs, railings, gates, plants, etc. Anything that might impede access? Please describe with dimensions (inches):*

Sometimes it is helpful to send us a short video showing path from truck parking to spa destination. Are you sending us video?*

Yes
No

If yes and you have a YouTube link, place the url here:

Or, you can email it to "Delivery@BlackPineSpas.com".

Please let us know if there is anything else we should know about your delivery conditions (Gate code, Dogs...)

What is the best contact phone if we have questions?*

Please Read and Sign: I understand that it is essential to provide site conditions prior to delivery of my new spa. Dealer may contract with a third party to delivery the Product. Both Dealer and its contractor will provide reasonable assistance in moving and positioning the product. However, neither Dealer nor its contractors shall provide crane service or be required to deliver product through rough and/or uneven terrain. Dealer and its contractor must have proper delivery access which is flat, level and clear of any obstructions. Failure to provide proper access may result in delivery delay and additional costs chargeable to buyer. I understand that I am responsible for electrical connections and for any leveling of the tub. I agree to accept full responsibility for information provided and to hold Black Pine or delivery contractor harmless for any damage incurred during delivery to landscaping, structures, people, pets or other property. If required to cross neighbor's property in order to carry out delivery, I agree to obtain permission in advance and to accept responsibility for their property.

Total understanding*

I confirm that I have read, understand and agree to the above policy and procedure

Signature*

Agreement: By entering my name, I certify that I have provided correct information in this document and agree to the conditions within.

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Black Pine Spas Site Survey