IDLOGISTICS, LLC.
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Consumer Direct Form (Please Complete)
*
Indicates required field
Customer Name
*
Phone Number
*
Desired Date for Delivery
*
MM/DD/YY
Type of Need
*
Pickup & Deliver
Pickup, Deliver & Install
Exercise - PickUp & Deliver
Exercise - Pickup, Deliver & Assemble
TV - Pickup & Deliver
TV - Pickup, Deliver & Mount
Appliance - Pickup & Deliver
Appliance - Pickup, Deliver & Install
Furniture - Pickup & Deliver
Furniture - Pickup, Deliver & Assemble
Patio - Pickup & Deliver
Patio - Pickup, Deliver & Assemble
Lawn & Garden - Pickup & Deliver
Other
If Other, please clarify in the "Other Type" field.
Other Needs:
*
Contact Person
*
First
Last
Email
*
Product Placement
*
1st Floor
2nd Floor Walk Up - $20
3rd Floor Walk Up - $25
Delivery Zone
*
Zone A : 0-15 miles (FREE)
Zone B : 15-20 miles ($35)
Zone C : 20+ miles ($49)
PickUp Location Name:
*
Pickup Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Delivery Accepter Name:
*
Delivery Address:
*
Line 1
Line 2
City
State
Zip Code
Country
Additional Comments
*
Submit
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