Pick Up / Shipment Information Request

Pick Up / Shipment Information Request
Pick-ups will be scheduled within 24 hours of receipt.

Delivery Hours: 7:00 A.M. to 2:00 P.M. Monday-Friday PST
Vendor:*
PO#:*
Today's Date:*

DayMonthYear
Pick-Up Information:
Pick-up Address (Shipper):*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Desired Pick-Up Date:*

DayMonthYear
Pick-up Hours:*
Contact Name*
Phone Number:*

Area CodePhone Number
Email:*
Delivery Information:

Delivery Hours: 7:00 A.M. to 2:00 P.M. Monday-Friday PST
Delivery Address:*
Additional Requirements:
ie. lift gate
Total # of Units*
Total # of Cartons*
Total Weight (lbs):*
(include pallet weight if applicable)

Transportation Information (include pallet weights, if applicable)*

	Quantity	Packaging	Description (e.g. snowboards, clothing)	Weight (lbs)	Length (in.)	Width (in.)	Height (in.)	Stackable
Line Item 1
Line Item 2
Line Item 3
Line Item 4
Line Item 5
Line Item 6
Line Item 7
Line Item 8
Line Item 9
Line Item 10
Line Item 11
Line Item 12
Line Item 13
Line Item 14
Line Item 15
Line Item 16
Line Item 17
Line Item 18
Line Item 19
Line Item 20
Line Item 21
Line Item 22
Line Item 23
Line Item 24
Line Item 25
Line Item 26
Line Item 27
Line Item 28
Line Item 29
Line Item 30

**If you have more than 30 pallets please submit an additional jot form**
*All fields must be complete in order to process freight pick-up order.*

Questions, comments, concerns? Please Contact:
Tiffany Roach | e: troach@evo.com | p: (206) 995-8138
Should be Empty: