This covers the information that our Customer Service Representatives will ask when you place an order. Please check your addresses, names, numbers, etc. for accuracy to ensure efficiency of your delivery request. We appreciate your assistance.

BILLED TO: (Company being charged)

CALLER NAME: (First and Last Name)

CALLER PHONE NUMBER: (Include extension)

REFERENCE: (Only if your Accounts Payable Department requires one)

PICK UP SITE: Name of Company or Person (if private residence):

Complete address (including room, suite, floor, or apartment number and zip code):

CONTACT NAME:

CONTACT PHONE NUMBER:

Special instructions (helpful directions or landmarks, is there a certain place to park, load or enter, what if no one is at the pick up site, does the Delivery Specialists need to sign for item(s), etc.):

PACKAGE DETAILS:

Description (envelope, box, other):
Fragile/temperature requirements:
Special equipment needs (cooler, dolly, gloves, etc):

VEHICLE TYPE:

Car_____ Pickup Truck_____ Cargo Van _____ 15’ Box Truck_____
24’ Box Truck_____ Semi Tractor _____

DELIVERY SITE: Name of Company or Person (if private residence):
Complete address (including room, suite, floor, or apartment # and zip code):

CONTACT NAME:

CONTACT PHONE NUMBER:

Special instructions (helpful directions or landmarks is there a certain place to park, loading or entrance area, what if no one is at the delivery site, does the driver need to sign for items(s),

SERVICE TYPE: : (When does your item(s) ABSOLUTELY have to be delivered)

STAT (Up to 89 minutes)

RUSH (90 to 179 minutes)

REGULAR (3-4 hours)

SAME DAY (deliver by 5:00 p.m.)

WHEN WILL ITEM (S) BE READY:

Now: ______ Later: _____a.m. (or) _____p.m. _____

___________________________________________
By supplying the important details, your delivery can be done in
the most efficient manner possible. Making your job a lot easier.