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Courier service request form
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Name
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Email address
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What type of service do you need?
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On-Demand Courier Service
Scheduled Service
Dedicated Service
Business to Business general freight
What is the nature of your delivery?
Please select at least one option.
Medical
Legal
Auto Parts
Retail
Office Products
Mail Distribution
General Freight
Parcels
What is the size of your shipment?
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Small Envelope
Package
Pallet
Full Van Load
What is the pickup location?
What is the delivery location?
When do you need the delivery?
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Immediately
Within 1 hour
Within 1.5 hours
Within 2.5 hours
Within 3.5 hours
Scheduled Date and Time
Additional instructions or details about the shipment?
Which service or services are you interested in?
Please select at least one option.
On-demand courier service
Scheduled service
Dedicated service
Follow-up consultation for $100
Additional questions or comments
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