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Please provide two pictures of the pallet, with the box securely strapped to pallet.

Company Name:
Contact Name:
Contact Phone Number:
Pick-up Address:
Does the address provided have a shipping/loading dock/gate/lift area?

Time-frame for pick-up:
(Ex: Mon-Thur 8AM-3PM)

Shipment Dimensions:   x    x    
(Length x Width x Height of entire shipment including box AND pallet)

Shipment Weight:

If you do not have a shipping scale large enough to measure a pallet's weight, then provide us with your box and pallet material type (i.e. Pallet or Box could be plastic or wood)