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SHIP WITH CONFIDENCE™
ALLIANCE AIR FREIGHT, INC. 		 
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For immediate assistance with your shipping pick up call: 800-6-TIMELY (800-684-6359). Or use our on line chat support.

 
THE ONLY REQUIRED FIELDS ARE THE ONES IN RED
 
Requester Details
  I am the (select all that apply):   Shipper   Consignee   Other
  Payment Terms*:   Prepaid   Collect  
Requester Information
  Contact*: 
  E-mail: 
  Phone*:  Ext: 
 
Shipper
  Company Name*:   
 
  Additional Information:   
  Street Address*:   
  Country: 
United States   Canada   Other  
  City/State/Zip*:    
  Contact*:   
  Phone*:   Ext: 
  Fax:     
  E-mail: 
  Reference No. for Pick Up
  Pick Up  Date
  Shipment Ready  (select 'CALL' for appointment)
  Dock Closes
CONSIGNEE INFORMATION
Company Name:   
 
Additional Information   
Street Address:   
Country: 
United States   Canada   Other  
City/State/Zip    
Contact:   
Phone:   Ext: 
Fax:     
E-mail:   
     
THIRD PARTY PAYER INFORMATION
  Company Name:     
  Additional Information:   
  Street Address:   
  Country: 
United States   Canada   Other  
  City/State/Zip    
  Contact:   
  Phone:   Ext: 
  Fax:     
  E-mail:   
         
Shipment Details
       
Handling Units:      Packages:      Weight:    Class:   NMFC:   Cube   Haz:  
# of type     # of type     (lbs)       Item Sub   (cuft)      
              -      
e.g.3   pallets of            40 total cartons)

 
  Description: (
     
Transit Time Required

 

ADDITIONAL SERVICES
Pickup Options
 
 
 
 
 
 
 
Delivery Options
 
 
 
 
 
 
 
  COD (collect for goods)
 

 

    
SEND CONFIRMATION COPY
  Send copy of this Pickup Request to: Send confirmation notice when shipment is picked up to:
E-mail the Shipper
 
   
E-mail the Consignee
 
   
E-mail the Third Party
 
   
Also send to this e-mail address:
 
   

 

    
ADDITIONAL INSTRUCTIONS
 

BEFORE SUBMITTING FORM, PLEASE BE CERTAIN  CONTACT INFORMATION IS FILLED IN (SHIPPER, CONSIGNEE, OR OTHER). 

I have read and agree to the Alliance Air Freight's Terms & Conditions of Contract. Please see link at top of page.

Yes I agree with the Terms & Conditions. *
No I do not agree with the Terms & Conditions.

  

 


 
  © 2001Alliance Air Freight, Inc.