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a) Sender (You) Information
Shipper's Name*:
Business' Name:
Address*:
Apt#: Cross Streets:
City*: State*: Zip:
 
Phone*:
Cell:
 
Email:
b) Pickup Information
When can we pickup your package? Date:
Delivery Type:
Package Dimensions: (Length/Width/Height)
Summary of Package Contents*:
 
 
c) Consignee (the recipient) Information
Name*:
Business:
Address*:
 
Country*:
Phone:
 
 
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1124-1128 Utica Avenue Brooklyn, NY 11203 | 1(800) 416-4624, Fax: 718-451-3614
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