KINDLY FILL IN THE FORM BELOW Pickup Date (required) PICKUP AND DELIVERY INFORMATION SENDER’S INFORMATION First Name (required) Last Name (required) Phone Number (required) Email (required) Pick-up Address (required) Pick-up State (required) Pick-up City (required) RECEIVER’S INFORMATION First Name (required) Last Name (required) Phone Number (required) Email (required) Drop-off Address (required) Drop-off State (required) Drop-off City (required) PACKAGE INFORMATION Content (required) Quantity (required) Weight —Please choose an option— 1KG and Below 2KG 3KG 4KG Above 5KG ADDITIONAL INFORMATION Indicate if item is fragile, sensitive or requires special handling. UPLOAD PHOTO OF ITEM Upload the photo of the item if any. Kindly go through your form again to confirm that all information is correct before clicking the “SEND” button