Manhattan, New York Messenger Service, Fast Delivery Service

Pick Up Information
Client Name:		Account #
Pick-up Date:		Time:
Contact Name:		Phone Number:
Street Address:		Ext:
Suite/Floor Number:		Door Man?	Yes
*If Pick Up address is different than customer info we will need a contact name, telephone and Suite or floor #*


Delivery Information
Company Name:		Contact:
Service Type:	Standard Rush Truck	Phone:
		Ext.:
Delivery Address:
Suite/Floor:
City:
Zip Code:

Package Details
No. of Items:		Weight:
Envelope:
Boxes:		Package Dimensions
Declared Value:		Length:
		Width:
		Height:
Truck Service
Number of Pieces:		Weight:
Description of Goods & Special Instructions:
Billing Details
Billing Method:	Account No. Charge C.O.D.	(Please provide person name to confirm C.O.D.)

Click Here to pay by Credit Card:

Additional Info& Special Instructions: