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				Required fields are in bold   Order Form  Name:    Phone:       Email:        Switch Pickup and Delivery (Flip)     Pickup (Stop1) Address   Destination   Name  Address  Room  City  State  GAAKALARAZCACOCTDCDEFLHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyHong KongIndiaIsraelItalyJapanMexicoNorwayPortugalSaudi ArabiaSingaporeSpainSwedenUK Zip  Contact  Phone  Email    Residence    Name  Address  Room  City  State  GAAKALARAZCACOCTDCDEFLHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyHong KongIndiaIsraelItalyJapanMexicoNorwayPortugalSaudi ArabiaSingaporeSpainSwedenUK 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  0 Today Tue Dec 9 Wed Dec 10 Thu Dec 11 Fri Dec 12 Sat Dec 13 Sun Dec 14 Mon Dec 15 Tue Dec 16 Wed Dec 17 Thu Dec 18 Fri Dec 19 Sat Dec 20 Sun Dec 21 Mon Dec 22 Tue Dec 23 Wed Dec 24 Thu Dec 25 Fri Dec 26 Sat Dec 27 Sun Dec 28 Mon Dec 29 Tue Dec 30 Wed Dec 31 Thu Jan 1 Fri Jan 2 Sat Jan 3 Sun Jan 4 Mon Jan 5 Tue Jan 6 Wed Jan 7 Thu Jan 8 Fri Jan 9 Sat Jan 10 Sun Jan 11 Mon Jan 12 Tue Jan 13 Wed Jan 14 Thu Jan 15 Fri Jan 16 Sat Jan 17 Sun Jan 18 Mon Jan 19   Vehicle --Unassigned--AnyBike-WalkerCarMiniVanCargo VanFt24 Strt Truck Description     Service Summary   Service:    --Unassigned--Direct--Fastest ServiceRush Service (Apprx 2 Hr)Regular Service (Apprx 4)SameDay-Ready by Noon Del by 5:30Out of Town over 50 mi-Direct DriveSuper Express-Bike-Walker-<10lbLTL--Less Than Truck Load     Pkge Type:  --Not Specified-- EnvelopeLarge EnvelopeGarment BagsShopping BagsStandard Document BoxPalletsMisc Cargo & Box (Describe in Notes)SpecimensRacksRollsFurniture     Ready Time:      Ready Date:    Due Time:      Due Date:      Amount:      Order References   Reference B/L(Alias)   Other   Invoice     Billing Information   Payment Options  VisaMastercardAmerican ExpressDiscover   Email Notification     Send E-Mail To:   When shipment is:   --None--CreatedDeliveredPickedup   --None--CreatedDeliveredPickedup   --None--CreatedDeliveredPickedup
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