Delivery Request Form
For assistance, call 613 617 9671 or email jason@veloz.ca
Freq. Pickup
Please Select
Airport 100 Thad Johnson Private
Bradda Printing
CCOC 415 Gilmour
Chateau Laurier 1 Elgin
DOJ 50 O'Connor
DOJ 99 Bank
DOJ 219 Laurier
DOJ 275 Sparks
DOJ 360 Albert
Harding Heating 200 Nipissing
Indigenous Services Canada 10 Wellington
NJI 275 Slater
Privy Council 11 Metcalfe
Harding Heating 200 Nipissing
Select Pickup Address
Freq. Delivery
Please Select
Airport 100 Thad Johnson Private
Bradda Printing
CCOC 415 Gilmour
Chateau Laurier 1 Elgin
DOJ 50 O'Connor
DOJ 99 Bank
DOJ 219 Laurier
DOJ 275 Sparks
DOJ 360 Albert
Harding Heating 200 Nipissing
Indigenous Services Canada 10 Wellington
NJI 275 Slater
Privy Council 11 Metcalfe
Harding Heating 200 Nipissing
Select Delivery Address
Pickup Address
Must include Postal Code
Delivery Address
Must include Postal Code
Instructions
Suite number, Fragile, Size, contact info, instructions etc
lbs
Enter total weight
No of boxes
Oversized
Please Select
Not Oversized
Oversized
If over 3' wide or tall
Fragile
Please Select
Not Fragile
Fragile
Requires special handling
Select a Service Rate
Zone 3
1 hour
2 hour
4 hour
Zone 2
1 hour
2 hour
4 hour
Zone 1
30 min
1 hour
2 hour
4 hour
After 1pm
Zone 3
1 hour
2 hour
Zone 2
1 hour
2 hour
Zone 1
30 min
1 hour
2 hour
After 3pm
Zone 3
1 hour
Zone 2
1 hour
Zone 1
30 min
1 hour
After 4pm
Zone 1
30 min
Base Rate
Zone Charge
Weight Charge
Oversized charge
Fragile Charge
Zone
Service
Delivery Time
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Day
-
Month
Year
Date
Hour Minutes
Docket #
Subtotal
Not including HST or additional required services
Submit
Clear All Questions
Admin Only
Member
Please Select
Jason
Mo
Pierre
Liam
POD
Status
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Completed
Cancelled
Pending
Total
Close Delivery
Current time
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Date
Hour Minutes
Auto Delivery time
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Date
Hour Minutes
Early current Date
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Test Current Time
Hour Minutes
Hidden 9:30am
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Hour Minutes
Hidden 10:00am
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Hidden 11:00am
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Hidden 1:00pm
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