Customer Name Type Freight
Delivery Pick Up Schedule Date Contract
Hours Closed for Lunch
Address Correct? Correct Address
City:
Liftgate? Dock? DocK Location
T/T ACCESSIBLE (70 FT OR GREATER)? If not, Why not
Business
Residence 		Floor Room Stairs Elevator
Contact person at time of pickup/delivery
Additional Contact Numbers
Spoke with Left Message/VM
Call placed by Date Time
Notes:
Bubble J-Bars Rolla-lift Big Red Dolly Genie Stair Crawler Masonite
Pallets ZONE
Pieces
CHECK ALL EMAILS TO SEND THIS TO - MUST CHECK AT LEAST ONE BOX!!!
Monica (xerox.com) Jacie (xerox2.com) Tori (hvpdsp1.com) Montana (montanasst.com - Tammy)
Montana Dispatch(montanadsp.com - Danny)