Fast Shipping: Orders for the Vversa Cuff generally leave the warehouse the next business day. Accurate Tracking: Tracking information is automatically emailed to you just as soon as the order ships out. Delivery Details: This product ships directly from the factory in Knoxville, TN. This item ships via FedEx and may not require a signature. Signing for the Package: When signing for the delivery it is important to note any damage. Damage is extremely rare. We package these to travel both domestically and internationally. However, sometimes the packaging may be slightly damaged, but you may not be sure whether something inside is damaged. In such a case it is a good idea to sign for it and have the driver note it as such. You can still accept delivery. Call or email us with any questions. Local Pickup Option: This item is available for local pickup in Knoxville, TN. If you are interested in picking it up locally contact our customer service for a special pickup quote at 866-308-5484.