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ODScouriers.biz
Small to Medium Size Package Delivery Service
18
Questions
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1
Package(s) Will Fit In:
*
This field is required.
Please Select
Car
Cargo Van
26' Straight Truck
53' Semi
Please Select
Please Select
Car
Cargo Van
26' Straight Truck
53' Semi
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2
Package Contents
*
This field is required.
Briefly describe what is being shipped?
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3
Is This a Route-Delivery?
*
This field is required.
(Is this a multiple-stops delivery?)
YES
NO
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4
*
This field is required.
(Enter stops in desired order of delivery)
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5
Do You Need Daily Pickup
*
This field is required.
(Do you need packages picked up same time Mon-Fri/Sat/Sun)
YES
NO
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6
Pickup Location
*
This field is required.
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7
Pickup Date/Time
*
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Minutes
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8
Delivery Date/Time
*
This field is required.
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9
Package(s) Weight & Dimensions
*
This field is required.
Weight
Length
Width
Height
Package 1
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Package 2
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Package 3
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Package 4
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Package 1
Package 2
Package 3
Package 4
Weight
Row 0, Column 0
Length
Row 0, Column 1
Width
Row 0, Column 2
Height
Row 0, Column 3
Weight
Row 1, Column 0
Length
Row 1, Column 1
Width
Row 1, Column 2
Height
Row 1, Column 3
Weight
Row 2, Column 0
Length
Row 2, Column 1
Width
Row 2, Column 2
Height
Row 2, Column 3
Weight
Row 3, Column 0
Length
Row 3, Column 1
Width
Row 3, Column 2
Height
Row 3, Column 3
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10
Person To Contact at Pickup
*
This field is required.
(Name of the person requesting the pickup)
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11
Contact at Pickup Phone
*
This field is required.
Please enter a valid phone number.
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12
Email
*
This field is required.
example@example.com
Confirm Email
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13
Dropoff Location
*
This field is required.
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14
Person To Contact at Delivery
*
This field is required.
(Name of the person receiving the delivery?)
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15
Contact at Delivery Phone
*
This field is required.
Please enter a valid phone number.
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16
Total Delivery Cost
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17
Payment for Delivery Charges
*
This field is required.
($60 minimum charge for Cargo Van & $25 minimum for Car)
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( X )
USD
Enter Total Delivery Cost Here
Payment Methods
Credit Card
First Name
Last Name
Cash App
After submitting the form, you will be redirected to the Cash App Pay to complete the payment process.
Google Pay
After submitting the form, you will be redirected to the Google Pay to complete the payment process.
Apple Pay
After submitting the form, you will be redirected to the Apple Pay to complete the payment.
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18
Quote Request Needed
*
This field is required.
So that we may better serve your delivery service needs, please fill out the information for an immediate response -- thank you.
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19
Referrer
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