Philadelphia Small Parcel Delivery
Rates & Order Form

Use the following Shipper Form to Order and Ship your Small Parcels.
We will contact you within 60 minutes via email or phone, to verify all your details, and expedite the process.
[during working hours, M-F, 7-5 PDT]

::From [Shipper]
Your Name*
Company Name (if applicable)
Address 1*
Address 2
City*
State/Province*
Country*
Zip/Postal Code*
Phone Number*
Fax Number
Your Email Address*
Contact Name*


::To [Consignee]
Consignee Name*
Company Name (if applicable)
Address 1*
Address 2
City*
State/Province*
Country*
Zip/Postal Code*
Phone Number*
Fax Number
Your Email Address*
Contact Name*


Payment preference:

VISA Mastercard American Express
(We will contact you directly for account information.)

What is your time frame?
Ready To Ship When?*
Need Delivery By?*


How many pieces are you Shipping?* (please fill in at least one line)
::Pieces, Description & Dimensions in inches::

Quantity	Short Description	Length	Width	Height

Total Weight

I agree with the terms and conditions.

In the text box below, please enter
all additional information you believe to be important.