PickUp - International Freight Consolidators

SENDER'S INFORMATION

Full Name:

Please provide a shipper's name

Company's Name:

Pick-Up Address:

City:

State:

Zip Code:

E-mail Address:

Telephone Number:

Telephone Number (Alternate):

PICK-UP INFORMATION

Best time to pick-up your package:

Pick-up Date (dd/mm/yyyy):

Delivery Type:

Package Dimensions (Length X Width X Height):

Summary of Package Contents:

RECIPIENT'S INFORMATION

Full Name:

Company Name:

Address:

Country:

Phone Number: