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				Required fields are in bold Indicate in the NOTES field when you want us to start waiting in line   Order Form  Name:    Phone:       Email/Text:        Switch Pickup and Delivery (Flip)     Pickup (Stop1) Address   Destination   Name  Address  Room  City  State  DCABAKALARAZBCCACOCTDEFLGAHIIAIDILINKSKYLAMAMBMDMEMIMNMOMSMTNBNCNENFNHNJNMNSNTNUNVNYOHOKONORPAPEPRQBRISASCSDTNTXUTVAVTWAWIWVWYYK Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyIndiaItalyJapanMexicoNorwayPakistanPortugalRussiaSpainUK Zip  Contact  Phone  Email    Residence    Name  Address  Room  City  State  DCABAKALARAZBCCACOCTDEFLGAHIIAIDILINKSKYLAMAMBMDMEMIMNMOMSMTNBNCNENFNHNJNMNSNTNUNVNYOHOKONORPAPEPRQBRISASCSDTNTXUTVAVTWAWIWVWYYK Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyIndiaItalyJapanMexicoNorwayPakistanPortugalRussiaSpainUK Zip  Contact  Phone  Email    Residence    Notes:     Service Items   Pieces Ttl Weight    ?   Ready Time Now       12:00AM 1:00AM 2:00AM 3:00AM 4:00AM 5:00AM 6:00AM 7:00AM 8:00AM 9:00AM 10:00AM 11:00AM 12:00PM 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM 6:00PM 7:00PM 8:00PM 9:00PM 10:00PM 11:00PM Ready Date  0 Today Wed Jun 24 Thu Jun 25 Fri Jun 26 Sat Jun 27 Sun Jun 28 Mon Jun 29 Tue Jun 30 Wed Jul 1 Thu Jul 2 Fri Jul 3 Sat Jul 4 Sun Jul 5 Mon Jul 6 Tue Jul 7 Wed Jul 8 Thu Jul 9 Fri Jul 10 Sat Jul 11 Sun Jul 12 Mon Jul 13 Tue Jul 14 Wed Jul 15 Thu Jul 16 Fri Jul 17 Sat Jul 18 Sun Jul 19 Mon Jul 20 Tue Jul 21 Wed Jul 22 Thu Jul 23 Fri Jul 24 Sat Jul 25 Sun Jul 26 Mon Jul 27 Tue Jul 28 Wed Jul 29 Thu Jul 30 Fri Jul 31 Sat Aug 1 Sun Aug 2 Mon Aug 3 Tue Aug 4   Due Time  Now       12:00AM 1:00AM 2:00AM 3:00AM 4:00AM 5:00AM 6:00AM 7:00AM 8:00AM 9:00AM 10:00AM 11:00AM 12:00PM 1:00PM 2:00PM 3:00PM 4:00PM 5:00PM 6:00PM 7:00PM 8:00PM 9:00PM 10:00PM 11:00PM Due Date  0 Today Wed Jun 24 Thu Jun 25 Fri Jun 26 Sat Jun 27 Sun Jun 28 Mon Jun 29 Tue Jun 30 Wed Jul 1 Thu Jul 2 Fri Jul 3 Sat Jul 4 Sun Jul 5 Mon Jul 6 Tue Jul 7 Wed Jul 8 Thu Jul 9 Fri Jul 10 Sat Jul 11 Sun Jul 12 Mon Jul 13 Tue Jul 14 Wed Jul 15 Thu Jul 16 Fri Jul 17 Sat Jul 18 Sun Jul 19 Mon Jul 20 Tue Jul 21 Wed Jul 22 Thu Jul 23 Fri Jul 24 Sat Jul 25 Sun Jul 26 Mon Jul 27 Tue Jul 28 Wed Jul 29 Thu Jul 30 Fri Jul 31 Sat Aug 1 Sun Aug 2 Mon Aug 3 Tue Aug 4     Service Summary   Service:    --Unassigned--Linestanding     Pkge Type:  --Not Specified-- Env-PkgSmall Item(Roll)Box-TrunkFilingsElectronicsLarge Item(Pallet)     Ready Time:      Ready Date:    Due Time:      Due Date:      Amount:      Order References   Reference B/L(Alias)   Other   Invoice     Billing Information   Payment Options  Credit CardVisaMasterCardAmerican ExpressDiscover   Email Notification     Send E-Mail or Text Message To:   When shipment is:   --None--CreatedDeliveredPickedup   --None--CreatedDeliveredPickedup   --None--CreatedDeliveredPickedup
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