Intake form

Help us serve you better

Name *

Email address *

What type of delivery service do you require?

What is the pickup address?

What is the delivery address?

What is the weight of the package?

What is the dimensions of the package?

What items are you sending?

Do you require any special handling?

Please select at least one option.

Fragile

Perishable

Hazardous materials

Confidential documents

What is your preferred contact method?

Please select at least one option.

Phone

Text Message

Additional questions or comments

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Banks Courier LLC