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    COURIER SHIPPING RESERVATION FORM

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    Your Name

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    PICKUP INFORMATION

    Pickup Date

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    Total Weight(lbs)

    Business Name

    Contact Name

    Contact Phone #

    Address 1

    Address 2

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    Zipcode

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    Special Instruction about your pickup

    DROPOFF INFORMATION

    Business Name

    Contact Name

    Contact Phone #

    Address 1

    Address 2

    City

    State

    Zipcode

    Type of building

    Special Instruction about your dropoff

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