Pick-Up Requests

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Pick-Up Requests

* Indicates required question

Pick-up requested by:

Your answer

Shipper's Name:

Your answer

Pick-up Address:

Your answer

Requested Date of Pick-up

MM

/

DD

/

YYYY

Number of Boxes:

Your answer

Dimensions of boxes:

Your answer

Weight of Boxes:

Your answer

Cargo Description:

What are the contents of your parcel

Your answer

Phone #:

US phone number where we can call the shipper to verify shipping information

Your answer

Email: *

We need the shipper's email to send the shipping label/s

Your answer

Name & address of recipient:

If applicable

Your answer

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google.