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Pick-up Request Form - From Central Illinois
If new customer, please fill out credit application.
* = Required Information
*Customer
*Pickup Location
Pickup Contact
Pickup Contact Phone #
 Pieces/Weight
 If not known, estimated Pieces & Weight		 /
Dim Weight
Ready Time
Close Time
Ultimate Destination
Type of Freight
Hazardous
Routing Carrier
(Ex: Forward Air, United)
Carrier Account #
Origination Airport
Destination Airport
Routing Info
 (Including Acct #s)

Shipper
  

 Consignee
  

Yes No - Will Fax Routing
Deliver to Regional Expedited Shipping Transport
1100 Chase Ave
Elk Grove Village, IL 60007

Deliver to Customer Address
or
Other
If "Other" was selected enter address below.

Additional requirements
Liftgate PU
Person Completing Form

Thrift Trucking Home Page
 
Corporate Office (Bartonville)
P.O. Box 4141 •  4425 Enterprise Dr. • Bartonville, IL 61607
Phone: (309) 697-8200 • 1-800-728-8213 Fax: (309) 697-8205
  
Champaign Office
1304 N. McKinley • Champaign, IL 61821
Phone: (217) 398-5900 • 1-888-554-4800 Fax: (217) 398-8344
  
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