Pickup Request NAME: TITLE: COMPANY NAME: ADDRESS1 FOR PICKUP ADDRESS2 FOR PICKUP CITY: PROVINCE/STATE: POSTAL/ZIP CODE: COUNTRY: TELEPHONE: FAX: EMAIL ADDRESS: NUMBER OF PIECES DESTINATION APPROXIMATE WEIGHT KG LBS MODE OF TRANSPORT AIR OCEAN GROUND COURIER SHIPPING DATE (MM/DD/YY): SHIPMENT READY FOR PICKUP AT (HH:MM) A.M. P.M. LATEST TIME SHIPMENT CAN BE PICKED UP A.M. P.M. COMMENTS
Pickup Request
NAME:
TITLE:
COMPANY NAME:
ADDRESS1 FOR PICKUP
ADDRESS2 FOR PICKUP
CITY:
PROVINCE/STATE:
POSTAL/ZIP CODE:
COUNTRY:
TELEPHONE:
FAX:
EMAIL ADDRESS:
NUMBER OF PIECES
DESTINATION
APPROXIMATE WEIGHT
KG LBS
MODE OF TRANSPORT
AIR
OCEAN
GROUND
COURIER
SHIPPING DATE (MM/DD/YY):
SHIPMENT READY FOR PICKUP AT (HH:MM)
A.M. P.M.
LATEST TIME SHIPMENT CAN BE PICKED UP
COMMENTS
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