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FedEx/UPS Pick Up Request

FedEx/UPS Pick Up Request

Only complete this if you are requesting FedEx / UPS pickup.
Facility Name*
Facility Address*
Street Address Address Line 2 City State ZIP Code
Point of Contact*

(First + Last Name)
Pick Up Date*
MM slash DD slash YYYY
Pick Up Time*

: Hours

Minutes

AM/PM

(3 hour window)
Email
This field is for validation purposes and should be left unchanged.

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