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Required fields are in bold If you do not have an account and would like to pl ace an order using a credit card please call (215) 751-0880   Order Form  Name:    Phone:       Email:        Switch Pickup and Delivery (Flip)     Pickup (Stop1) Address   Destination   Name  Address  Room  City  State  0ABAKALARAZBCCACGCOCTDCDEFLFRGAGBHIHKIAIDILINKSKYLAMAMBMDMEMIMNMOMSMTNBNCNDNENFNHNJNLNMNSNVNWNYOHOKONORPAPRPTQCQERISCSDSHTNTXUKUTVAVIVTWAWIWVWY Country  USAAustraliaAustriaBelgiumBermudaBrazilCanadaChinaDenmarkFranceGermanyHoundurasIndiaItalyJapanMexicoNetherlandsNew ZealandNoUpDatePolandPORTUGALPRCPuerto RicoRussiaSouth AfricaSpainSwitzerlandTaiwanUKUnited KingdomVirgin Islands Zip  Contact  Phone  Email    Residence    Name  Address  Room  City  State  0ABAKALARAZBCCACGCOCTDCDEFLFRGAGBHIHKIAIDILINKSKYLAMAMBMDMEMIMNMOMSMTNBNCNDNENFNHNJNLNMNSNVNWNYOHOKONORPAPRPTQCQERISCSDSHTNTXUKUTVAVIVTWAWIWVWY Country  USAAustraliaAustriaBelgiumBermudaBrazilCanadaChinaDenmarkFranceGermanyHoundurasIndiaItalyJapanMexicoNetherlandsNew ZealandNoUpDatePolandPORTUGALPRCPuerto RicoRussiaSouth AfricaSpainSwitzerlandTaiwanUKUnited KingdomVirgin Islands Zip  Contact  Phone  Email    Residence    Notes:     Service Items   Pieces Ttl Weight    ?   Ready Time Now       12:00AM 12:30AM 1:00AM 1:30AM 2:00AM 2:30AM 3:00AM 3:30AM 4:00AM 4:30AM 5:00AM 5:30AM 6:00AM 6:30AM 7:00AM 7:30AM 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM 11:00AM 11:30AM 12:00PM 12:30PM 1:00PM 1:30PM 2:00PM 2:30PM 3:00PM 3:30PM 4:00PM 4:30PM 5:00PM 5:30PM 6:00PM 6:30PM 7:00PM 7:30PM 8:00PM 8:30PM 9:00PM 9:30PM 10:00PM 10:30PM 11:00PM 11:30PM Ready Date  Mon May 12 Tue May 13 0 Wed May 14 Thu May 15 Fri May 16 Sat May 17 Sun May 18 Mon May 19 Tue May 20 Wed May 21 Thu May 22 Fri May 23 Sat May 24 Sun May 25 Mon May 26 Tue May 27 Wed May 28 Thu May 29 Fri May 30 Sat May 31 Sun Jun 1 Mon Jun 2 Tue Jun 3 Wed Jun 4 Thu Jun 5 Fri Jun 6 Sat Jun 7 Sun Jun 8 Mon Jun 9 Tue Jun 10 Wed Jun 11 Thu Jun 12 Fri Jun 13 Sat Jun 14 Sun Jun 15 Mon Jun 16 Tue Jun 17 Wed Jun 18 Thu Jun 19 Fri Jun 20 Sat Jun 21 Sun Jun 22 Mon Jun 23 Tue Jun 24   Vehicle --Unassigned--CARTRUCKVANANY Description     Service Summary   Service:    --Unassigned--Agt-WHDriveEconomy-SDHoldInboundLaborNet-A-AirPrrty-4hPrty4HrVanRush-2HrV-SameDayTechPickUpVehicleDREmergencyRushSame-Day     Pkge Type:  --Not Specified-- ON_DEMANDRTE_SCHWHSE_RENTTierATierBTierCTierDTierETierF     Ready Time:      Ready Date:    Due Time:      Due Date:      Amount:      Order References   Reference B/L(Alias)   Other   Invoice     Billing Information   Payment Options    Email Notification     Send E-Mail To:   When shipment is:   --None--ArrivedCreatedDeliveredPickedupWebRemoteAuthAmountWebRemoteDispatch   --None--ArrivedCreatedDeliveredPickedupWebRemoteAuthAmountWebRemoteDispatch   --None--ArrivedCreatedDeliveredPickedupWebRemoteAuthAmountWebRemoteDispatch

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