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Customer Information
First Name
Last Name
Company Name
Email
Phone No
Pick up information
Pick up address
Street Address
what3words
Address
Pick-up date
Pick-up Time
:
Delivery information
Delivery Address
Street Address
what3words
Address
Delivery Person or Company Name
Recipient Phone Number
Delivery Date
Delivery Time
:
Item and Service type
Item Type
Documents
Parcels
Medical Items
Other items (fits in the car)
Item Size
Small items (below 10 lbs)
Medium items (10 - 20 lbs)
Large items (over 20 lbs)
Number of items
Service Type
Same day rush
Same day 1-3 hours
Same day 3-6 hours
Same day anytime (most popular)
Same day after hours
24 hour (next day)
Next day
Additional Notes
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