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Medical Pick-Up

Please fill out the following form to schedule a Pick Up

Company Name

Email Address

Pick-Up Address

Preferred Pick-Up Days

Mondays

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Phone

Contact Name

Preferred Pick-Up Time

11:00 AM -12:00 PM

12:00 PM - 1: 00 PM

1: 00 PM -2:00 PM

2:00 PM -3:00 PM

3:00 PM -4:00 PM

4:00 PM -5:00 PM

5:00 PM-6:00 PM

Pick Up Location (receptionion/lab/front door)

Delivery Address #1

Delivery Address #2

Delivery Address #3

Delivery Address #4

Desired Pick-Up Start Date

Thanks for submitting!

The Company

250 East Beaver Avenue

Suite #758

State College, Pennsylvania

16801

What We Do

Corporate Courier

Medical Courier

General Merchandise & Grocery

Partners

Medical Pick-Up

The Company

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What We Do