Preferred Delivery/Pickup WindowIf delivery on a specific date and time is required, make both dates the same, but please do not put identical times. A small window is still required i.e. 1:30pm - 2:00pm.Complete After Date:* MM slash DD slash YYYY Complete After Time:* : Hour Minute AM PM AM/PM Complete Before Date:* MM slash DD slash YYYY This MUST be a date in the future. Entering a date in the past will cause the courier request to fail.Complete Before Time:* : Hour Minute AM PM AM/PM This MUST be a time in the future. Entering a time in the past will cause the courier request to fail.IMPORTANT: normal courier rate is $75/hr round-trip, deliveries or pickups scheduled same-day will be billed at a rush rate of $100/hr.JMF InfoJOB #* JMF Rep Name* JMF Rep Email* This email will receive delivery updates and confirmations.Delivery or Pickup AddressPlease provide the address of the delivery or pickup here. Pickups are automatically assumed to be returned to J.M. Field HQ.Company Name* Delivery Contact Name* Delivery Phone Number*Delivery or Pickup Address*Please provide the exact address with perfect syntax. Unit numbers MUST be on second line. If you're not sure, google the address to confirm before submitting. Street Address Suite or Unit # City FLAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Address is* Commercial Residential Have we delivered here before?* Yes No This is a:* Dropoff Pickup Dropoff and Pikcup Item Description*List all items in this delivery or pickup. If you have more than 5 lines attached a packing list instead.Model #Product NameQTY Number of Boxes*Number of PalletsJMF Pickup/Dropoff Location*Please tell us where the boxes/pallets for this task can be picked up or dropped off. Notes for DriverI have additional paperwork to include:*If you have additional paperwork that must be physically signed or handed off, you must print and provide to the driver prior to the task beginning. No Yes
