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Short Description of Shipment
Shipment Details
Shipping Weight
lbs.
Pickup Destination
Company Name
Company Name
Company Address
Company Address
City, State, Zip Code
   
City, State, Zip Code
   
Contact Name
Contact Name
Pickup Contact Phone Number
Destination Contact Phone Number
Pickup Instructions:
Destination Instructions:
Job Reference Number
Round Trip
 Yes       No
Date of Pickup
Time of Pickup
Payment Information
Billing Name:   Billing Address:
City:    State:    Zip:    Phone:   
Fax:   Email Address:
Cardholder Name:
Credit Card Type:   Card Number:
Expiration Date: /

 
Email: info@gecourier.com     Call: 305-461-1000   877-432-7363     Fax: 305-569-9997