Vendor Pickup Request

 

Name

full name

Contact Phone #

Your Email

enter a valid email

Company Name

your company name

PLEASE ENTER FULL ADDRESS INFORMATION BELOW

Street Address

City

Postal Code

Ready Date

Pick Up Hours

(Between the hours of)

SKID COUNT

SKID DIMENSION (L x W x H)

please enter skid dimensions in INCHES

SKID WEIGHT

BOX/PIECE COUNT with Dimensions

BOX/PIECE WEIGHT

Dollar Value

Appt Notes:

PO#'s

Pickup #

Attach File

upload max 5MB