Pick-up Request

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Fields marked with an * are required

First Name *

Last Name *

Company Name *

Customer ID Number

Email *

Phone *

Billing Address 1 *

Billing Address 2

City *

State *

Zip / Post Code *

Is the pickup address the same as billing? *

Materials to be picked up: *

How are materials packaged? *

Is this for a business? *

Is there a loading dock at the pickup site? *

Special Notes or Requests For PU/Delivery

Confirm that you are not a bot *

Phone: 763-785-0456 • Email: [email protected]
10040 Davenport Street NE Blaine, MN 55449-4423