Pickup Request

Pickup

Email
Customer Name*		Customer Phone*
Customer Address*		Customer Address 2
Customer City*		Customer Province*
Customer Postal*		Customer Contact*
Close Time*

Delivery

Delivery City*

Delivery Province*

Pickup Date*		Ready Time*
Driver Instructions*		Skid Count*
Total Piece Count*		Weight (lb)*
Truck Type*

Dimensions (inches)

Count * L* W* H*

= cu. ft.

(remove)

Use single quote for feet; double quote for inches. Eg: 1'3"
No quote assumes inches