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Please use the form below to submit your order online. Don't forget to click on the submit button at the bottom of the form. We will contact you to confirm your order. Thank you.

 

A-Express Online Order Form

 

Pick Up Information

Client Name:

Account #
Pick-up Date: Time:
Contact Name: Phone Number:
Street Address: Ext:
Suite/Floor Number:    

If Pick Up address is different than customer info we will need a contact name, telephone and Suite or floor #

       
       

Delivery Information

Company Name: Contact:
Service Type: Standard Rush   Truck Phone:
    Ext.:
Delivery Address:    
Suite/Floor:    
City:    
Zip Code:    
       

Package Details

No. of Items: Weight:
Envelope:    
Boxes: Package Dimensions
Declared Value: Length:
    Width:
    Height:

Truck Service

Number of Pieces: Weight:
Description of Goods: Special Instructions:

Billing Details

Billing Method:  Account No. Charge
 C.O.D.

(Please provide person name to confirm C.O.D.)

       
Click Here to pay by Credit Card:

   

Additional Info:    
       
       

Please click the "Submit Button" to insert your order. Only click once.

 

 

 

 www.aexpressdelivery.com

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Located in the heart of Midtown Manhattan
New York, New York
(212) 768-8445
Fax: (212)-768-8419
info@aexpressdelivery.com
Copyright 2004 A-Express Transportation Services