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				Required fields are in bold Select Quote to select correct service. Rates may not include accessorial charges. Select VAN Service when Van required   Order Form  Name:    Phone:       Email:        Switch Pickup and Delivery (Flip)     Pickup (Stop1) Address   Destination   Name  Address  Room  City  State  CAABAKALARAZBCCOCTDCDEFLGAGGHIIAIDILINKAKSKYLAMAMBMdMEMIMNMOMSMTNBNCNDNENFNHNJNMNSNTNUNVNYOHOKONORPAPEQBRISASCTNTXUTVAVTWAWIWYYK Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyHong KongIndiaIrelandIsraelItalyJapanMexicoNorwayPortugalSpainThe NetherlandsUK Zip  Contact  Phone  Email    StopNotes:   Residence    Name  Address  Room  City  State  CAABAKALARAZBCCOCTDCDEFLGAGGHIIAIDILINKAKSKYLAMAMBMdMEMIMNMOMSMTNBNCNDNENFNHNJNMNSNTNUNVNYOHOKONORPAPEQBRISASCTNTXUTVAVTWAWIWYYK Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyHong KongIndiaIrelandIsraelItalyJapanMexicoNorwayPortugalSpainThe NetherlandsUK Zip  Contact  Phone  Email    StopNotes:   Okay To Leave Residence    Notes:     Service Items   Pieces Ttl Weight    ?   Ready Time Unassigned      Now       12:00AM 12:30AM 1:00AM 1:30AM 2:00AM 2:30AM 3:00AM 3:30AM 4:00AM 4:30AM 5:00AM 5:30AM 6:00AM 6:30AM 7:00AM 7:30AM 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM 11:00AM 11:30AM 12:00PM 12:30PM 1:00PM 1:30PM 2:00PM 2:30PM 3:00PM 3:30PM 4:00PM 4:30PM 5:00PM 5:30PM 6:00PM 6:30PM 7:00PM 7:30PM 8:00PM 8:30PM 9:00PM 9:30PM 10:00PM 10:30PM 11:00PM 11:30PM Ready Date  0 Today Fri Feb 6 Sat Feb 7 Sun Feb 8 Mon Feb 9 Tue Feb 10 Wed Feb 11 Thu Feb 12 Fri Feb 13 Sat Feb 14 Sun Feb 15 Mon Feb 16 Tue Feb 17 Wed Feb 18 Thu Feb 19 Fri Feb 20 Sat Feb 21 Sun Feb 22 Mon Feb 23 Tue Feb 24 Wed Feb 25 Thu Feb 26 Fri Feb 27 Sat Feb 28 Sun Mar 1 Mon Mar 2 Tue Mar 3 Wed Mar 4 Thu Mar 5 Fri Mar 6 Sat Mar 7 Sun Mar 8 Mon Mar 9 Tue Mar 10 Wed Mar 11 Thu Mar 12 Fri Mar 13 Sat Mar 14 Sun Mar 15 Mon Mar 16 Tue Mar 17 Wed Mar 18 Thu Mar 19   Vehicle --Unassigned--AnyBobCarFull Size VanMedical CarMedical TruckMedical VanMini VanSUVVan Description     Service Summary   Service:    --Unassigned--5Hour-CarDirect-CarFREIGHTPrem-CarVAN     Pkge Type:  --Not Specified-- LetterPakYour PackagingBoxTubePacketPallet     Ready Time:      Ready Date:    Due Time:      Due Date:      Amount:      Order References   How did you hear about us? Found? B/L(Alias)   Other   Invoice     Billing Information   Payment Options  VisaVISAMCAMEXDISCOVER   Email Notification     Send E-Mail To:   When shipment is:   --None--CreatedDeliveredPickedup   --None--CreatedDeliveredPickedup   --None--CreatedDeliveredPickedup
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