Courier Pickup Request Form

Courier Pickup Request Form

Fill out your details to schedule a pickup with Shadow Expedition Logistics LLC.
Customer Information
Full Name

First NameLast Name
Company Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Pickup Information
Pickup Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Delivery Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Pickup Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Pickup Time

Hour Minutes

AM/PM Option
Delivery Type
Package Details
Package Size
Weight (lbs)
Special Instructions
Pricing & Payment

Pickup requests are reviewed before final pricing is approved. Customers will receive a confirmation and payment link after the request has been evaluated.
Pricing may vary based on distance, delivery urgency, package size, and service requirements.
By submitting this request, I acknowledge and agree that Shadow Expedition Logistics LLC is providing courier services as an independent contractor. I certify that all shipment information provided is accurate and that all items are properly packaged and ready for transport. Payment is due according to the agreed-upon service terms. Shadow Expedition Logistics LLC shall not be liable for delays caused by traffic, weather, road conditions, inaccurate information provided by the customer, or circumstances beyond reasonable control. For medical deliveries, the customer is responsible for ensuring all materials are properly packaged and labeled before pickup. Any confidential information will be handled with reasonable care and in accordance with applicable privacy laws. By checking the box below and signing electronically, I agree to these terms and authorize Shadow Expedition Logistics LLC to perform the requested delivery service.
Customer Signature
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I'm not a robot
Should be Empty:

Courier Pickup Request Form

Customer Information

Pickup Information

Package Details

Pricing & Payment