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Phone#      E-mail

Pick Up Location:

City       State       Zip

Trade Show       Pick Up Date

Deliver Location:

City       State       Zip

Trade Show       Delivery Date

Complete section A "OR" section B

A.Shipment Details (Indicate shipment size)

Number of Trailers       1/2 Trailer       1/4 Trailer

B. Shipment Details (Indicate shipment size)

Total # of Pieces      Total Weight (lbs)

Sizes       Description

# of Pieces      Length (in.)      Width (in.)       Height (in.)

Special Instructions

5 Willimatic Court
Shoreham, New York, 11786

Toll Free: (888) 249-4894
Office: (631) 744-4900
Fax: (631) 821-1268