Kiosk Pickup Request Form
This form serves to gather all necessary pickup information for the smooth return of your kiosks via UPS.
Name of Organization
*
Contact Name
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
Please enter a valid email address.
Kiosk Pickup Address
*
Street Address
Unit Number, if Required
City
Province / State
Zip Code
Preferred Pickup Location
*
Please Select
Front Door
Back Door
Side Door
Shipping
Receiving
Loading Dock
Reception
Office
Mailroom
Garage
Upstairs
Downstairs
Security Room
Warehouse
Third Party
Other (please specify in Special Instructions)
Pickup Date
*
/
Day
/
Month
Year
No later than 1 BUSINESS DAY after event concludes.
The earliest possible pickup time.
AM
PM
AM/PM Option
Special Instructions
Please note any specific pickup instructions for UPS.
Submit
Should be Empty: