Tallahassee Courier Inc Customer Request Form
(FOR DELIVERIES ONLY)
Requester
*
First Name
Last Name
Company Name
Email
*
example@example.com
Contact Number
*
Please enter a valid phone number.
Requester's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Delivery Date
*
-
Month
-
Day
Year
Date
Job Delivery Speed
Urgent Delivery (within an hour or less) $25 Rush Fee will apply
Express Delivery (within 1-3 hours)
Same Day Delivery (within 3-6 hours)
Next Day Delivery (usually in the A.M.)
Other
Delivery Contact Person
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Delivery Company/Name
Delivery Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Quantity 1 2 3
*
Number of Items
Description of delivery item(s) and/or Instructions for delivery service.
*
Submit
Should be Empty: