Pickup Request

Shipper Information: (Required fields are denoted with *)

Contact Name:* Telephone:* - -  ext. Company Name:* Address:*   ZIP/Postal Code: * ZIP/Postal Code Lookup Country: United States Canada Pickup Date:* / /   (ie 10/15/2008 - October 15, 2008) Pickup Ready: CALL 01 02 03 04 05 06 07 08 09 10 11 12 00 15 30 45 PM AM  (select 'CALL' for appointment) Dock Closes: 00 01 02 03 04 05 06 07 08 09 10 11 12 00 15 30 45 PM AM Load #/ Reference #: (if Reference # needed to pick up freight) Contact info if we need to clarify or complete information in this request Submitted By:* Telephone* - - Confirmation Email:*   (check to receive email)

Consignee :(Shipment )
Attn:
Company Name:
Address:
ZIP/Postal Code: *	ZIP/Postal Code Lookup
Country:	United States Canada
Contact Name:
Telephone:	- -   ext.

Commodity Information
Shipping Units	Unit Type	Weight	Cube	Requirements
	Bundle Crate Carton Drum Skid Other		1/4 Trailer 1/2 Trailer 3/4 Trailer Full Trailer	HazMat     Freezable
Description:
Special Instructions:
*If you have an ODFL reference number it must appear on your Bill of Lading for this shipment.