Cargo Pickup Request Form
Customer Info
Full Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Apartment /Unit Number
City
State / Province
Postal / Zip Code
Destination Country
Please Select
Jamaica
United States
Canada
United Kingdom
Other
Destination Parish, City, or Town
Destination Address (if home delivery is requested)
Service Type
Wharf Pickup
One-Stop / Express Clearance
Home Delivery
Preferred Jamaica Port
Kingston
Montego Bay
Not Sure
Not Jamaica
Contents Description
Dimensions (for boxes, crates, totes, furniture, TVs, appliances, or non-barrel items)
Declared Value (for non-food or high-value items)
Payment Status
Unpaid
Deposit Paid
Paid in Full
Pickup Fee Quoted
Internal Order Status
New
Scheduled
Picked Up
In Transit
Delivered
Cancelled
Driver Notes / Internal Notes
Item Type
What are we picking up?
Barrel
Box
Tote
Crate
Pallet
How Many Barrels?
How Many Boxes?
How Many Totes?
How Many Crates?
How Many Pallets?
Upload a photo of your barrel with the sender and consignee information visible in the photo.(If you’re shipping more than one barrel, a picture is required for each item.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload a photo of your box with the sender and consignee information visible in the photo. (If you’re shipping more than one box, a picture is required for each item).
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload a photo of your Tote with the sender and consignee information visible in the photo.(If you’re shipping more than one tote, a picture is required for each item.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload a photo of your Crate with the sender and consignee information visible in the photo. (If you’re shipping more than one crate, a picture is required for each item.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload a photo of your Pallet with the sender and consignee information visible in the photo. (If you’re shipping more than one pallet, a picture is required for each item.)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Pickup Date
*
Pickup Time
Hour Minutes
AM
PM
AM/PM Option
What Level are the items on?
Ground/ Floor 1
Floor 2
Floor 3
Floor 4+
Pickup Instructions (If any)
Workflow Note
After this pickup request is submitted, create or send the customer a prefilled NEX Shipping Smart BOL linked to this pickup request using the Pickup Request Submission ID, customer name, phone, email, pickup address, pickup date, pickup time, destination country, destination parish/city/town, destination address, service type, contents description, dimensions, declared value, pickup fee quoted, payment status, internal order status, and driver notes.
Signature
Submit
Should be Empty: