Schedule a Pickup … Shipper Information * Name * Address1 Suite/Unit# * City * Phone# Ext. * Contact Shipper Order# Customer PO# Check if this is a residential address COD Amount Declared Value Is Company Check OK? * PCS * WGT * Description of Material * Hazardous Material Yes No Consignee Information * Name Address1 Address2 * City * Phone# Contact Check if you require rate estimate before pickup * Service * Freight Charge Priority Standard Deferred Bill to Shipper Bill to Consignee Bill 3rd Party * Ready Time * Close Time Special equipment. Check if apply Lift Gate Pallet Jack Inside Pickup Check if any one dimension exceed 120 inches in length or 60" in width or height Enter measurements or special instructions in box below Fields starting with * are required! If you are having difficulties in submitting this form, please call us at 808-836-1936 or 800-367-2646 OR you can print from your browser and FAX to us at 866-442-2746