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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  0AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyHong KongIndiaIsraelItalyJapanMexicoNorwayPortugalSaudi ArabiaSingaporeSpainSwedenUK Zip  Contact  Phone  Email    Residence    Name  Address  Room  City  State  0AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyHong KongIndiaIsraelItalyJapanMexicoNorwayPortugalSaudi ArabiaSingaporeSpainSwedenUK Zip  Contact  Phone  Email    Okay To Leave 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 Sat Jun 20 Sun Jun 21 Mon Jun 22 Tue Jun 23 Wed Jun 24 Thu Jun 25 Fri Jun 26 Sat Jun 27 Sun Jun 28 Mon Jun 29 Tue Jun 30 Wed Jul 1 Thu Jul 2 Fri Jul 3 Sat Jul 4 Sun Jul 5 Mon Jul 6 Tue Jul 7 Wed Jul 8 Thu Jul 9 Fri Jul 10 Sat Jul 11 Sun Jul 12 Mon Jul 13 Tue Jul 14 Wed Jul 15 Thu Jul 16 Fri Jul 17 Sat Jul 18 Sun Jul 19 Mon Jul 20 Tue Jul 21 Wed Jul 22 Thu Jul 23 Fri Jul 24 Sat Jul 25 Sun Jul 26 Mon Jul 27 Tue Jul 28 Wed Jul 29 Thu Jul 30 Fri Jul 31   Vehicle --Unassigned--AnyBike-WalkerCarMiniVanCargo VanFt24 Strt Truck Description     Service Summary   Service:    --Unassigned--Standard VehicleExpress VehicleSuper Express VehicleStandard-Bike-Walker-Under 10lbExpress-Bike-Walker--Under 10lbSuper Express-Bike-Walker-<10lbOut of Town (Over 50 Miles)Straight Truck ServiceLTL--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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