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Courier Service Order Form
Online orders are available Monday – Friday, 8 AM to 5:30 PM
During normal business hours we will call you shortly if we have any questions.
"
*
" indicates required fields
Step
1
of
2
50%
COURIER SERVICE BILLING INFORMATION
Payment Type
*
Credit Card
Client (After Hours)
Your Company Name
*
Your Name
*
Phone Number
*
COURIER PICKUP INFORMATION
Pick Up From
*
Street Address
*
Suite or Unit Number
Who do we see for pickup?
*
COURIER DELIVERY INFORMATION
Deliver To
*
Street Address
*
Suite or Unit Number
INSTRUCTIONS FOR MESSENGER
If delivery is to a residence is it OK to leave the package?
*
Yes
No
Round Trip
*
No
Yes
Messenger Service Type
*
Regular – 4 hour local
Rush – 2 hour local
Shuttle – Ready by 10 AM
Time frames are for local service within a 15 mile radius. Please call in requests for non stop service.
Email Address
*
Email you when delivered?
*
No
Yes
Driver Instructions, including requested delivery time.
Date of delivery and Time package is ready
*
Hidden
Date of Delivery
Month
Day
Year
Hidden
Time package is ready
Hours
:
Minutes
AM
PM
AM/PM
Description of Package
*
Vehicle Requested
*
Car
Standard Pickup Truck (6 foot by 4 foot bed)
Van
Larger Truck
Do you have your credit card on file with us?
*
No
Yes
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