Monday, November 18, 2019

: 7666718877

Value Pickup Request

Value Pickup Request

Contact Information

Please include your phone number, so that we may contact you with questions or updates related to your pickup request.

Please send me an e-mail to inform me that my local service center received my pickup request.

Note: Please enter additional e-mail addresses and comments at the bottom of this form.

Pickup Location

Shipment Information

Requested Pickup Date*

Pickup Notes*

Total Pieces for All Shipments

Total Weight*

Gram

Note:The pickup time must be the time zone of the pickup location.

My Shipment Will Be Available for Pickup By

Hazardous Materials?

Yes No

Payment Terms*

Shipment Destination Information

Additional Confirmation E-mails (Optional)

If you selected "Please send me an e-mail to inform me that my local service center received my pickup request." and want a copy sent to additional addresses on your behalf, please complete the fields below.

Additional e-mail addresses

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