PNW Freight Pickup Form

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Contact Information


 

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please enter in this format: 123-456-7890

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Please Enter Street Address

Enter the City Name

Enter the Province

Please Enter the Postal Code


Item Details


Item 1

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Please choose "yes" or "No"

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choose lbs or kgs

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Item 2
(optional)
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Please choose "yes" or "No"

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choose lbs or kgs

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Item 3
(optional)
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Please choose "yes" or "No"

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choose lbs or kgs

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 Pickup Date and Time


 


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