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		CUSTOMER INFORMATION
	Company:
	Contact:
	Phone #:
	Email:
		PICK-UP FROM
	Company:
	Contact:
	Address:
	City:
	State:
	Zip Code:
	Instructions:
		DELIVER TO:
	Company:
	Contact:
	Address:
	City:
	State:
	Zip Code:
	Instructions:
		DELIVER DETAILS:
	Delivery Size:
	Weight (lbs):
	Pieces/Boxes:
	Pick-up Date:
	Pick-up Time:
	Delivery Date:
	Delivery Time:
	Closing Time:
	Round Trip:	Yes       No
	Delivery Type:	Commercial     Office Building     Residential
	Service Level:	Standard         Medium               Expedited
	Email/POD:	Yes       No
	Invoice:	U.S. Mail     Email PDF