Truck Pickup Request
CONTACT INFORMATION
First Name
*
Last Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Location
Please Select
Apartment Building
Bookstore
Business
Library
House
Other
Email
*
example@example.com
Confirm Email
*
example@example.com
Phone Number
Please enter a valid phone number.
BOOK PICKUP INFORMATION
Earliest Possible Pickup Date
-
Month
-
Day
Year
Date
# of Boxes
(Must be at least 8 boxes to request a book pick-up)
First Floor Pickup
Yes
No
Item Are Packed In Boxes or Bags
Yes
No
Pickup Instructions
Scheduling For Someone Else?
Yes
No
If so, who?
Submit
Should be Empty: