Pickup Request

Please fill out the information below & click the submit button. You will receive a confirmation email or phone call during normal business operations, Monday - Friday 8 AM - 4 PM Pacific time. If you need immediate information, please call 1-888-596-3361.

Name:

Company:

Email:

Phone:

Fax:

Lynden Company You Are Working With:

Quote #:

PICKUP AT: (Enter Location of PICKUP Below)

Pickup Company Name:

Pickup Street Address:

City/State or Province/Zip: / /

Country:

PO Number:

DELIVER TO: (Enter Location of DELIVERY Below)

Delivery Company Name:

Delivery Street Address:

City/State or Province/Zip: / /

Country:

PO Number:

THIRD PARTY BILL TO:

Company Name:

Account Number:

PO Number:

Date Pickup Ready:

Time Pickup Ready:

Closing Time:

Freight Charges:

Commodity:

Estimated Weight: Pounds

Number of Pieces:

Estimated Dimensions:

Service Level:
Other, please specify:

Hazardous Materials:

Special Needs Required: (Lift Gate, 2 Man, Etc.)