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Delivery Order Form
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Payment Method:
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Cash On Pick Up
Cash On Delivery
Check on Pick Up
Check on Delivery
Amex/Visa/Mastercard
Name
Your answer
Direct Phone
Your answer
Email Address
Your answer
Company
Your answer
Street Address
Your answer
Suite / Floor
Your answer
City
Your answer
State
Your answer
Contact Name (if different):
Your answer
Contact Phone (if different):
Your answer
What are we Picking Up?
Choose
Envelope
Tube
Box
Bag
Flat
Other
How many pieces?
Your answer
Delivery Company Name
Your answer
Delivery Street Address:
Your answer
Delivery City:
Your answer
Delivery State
Your answer
Service Level:
Choose
Standard 2 Hour
Rush 1 Hour
Direct 30 Minutes
Economy 4 Hours
Is There a Deadline Time on this Delivery?
Your answer
Delivery Type:
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One Way
Round Trip
Special Instructions:
Your answer
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