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Outbound Pickup Request
*If you want your items to be shipped out TODAY then this form must be completed no later than 2:00PM TODAY*
# of items to be picked up:
Contact Name:
Department:
Contact Phone:
Building:
Room:
Shipping Auth. (or Tracking) #:
** E-Mail Address to send your copy to:
Need Handcart:
Need Forklift:
Dryice:
Comments:
** Please make sure the email provided is correct (it will be validated). A PDF copy of your Request will be sent to the address provided.