2837 S. East Avenue
Fresno, California 93725
Phone:
559-266-6674
Toll Free:
800-648-7912
(CA only)
FAX:
559-266-6118
Copyright 2017 ©
Valley Transportation, Inc.
All Rights Reserved.
Pick Up Request Form
Company Name:
First Name:
Last Name:
Title:
Address:
City:
State:
Zip:
Fax:
Phone:
Email:
Pick Up Date:
Ready Time:
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Close Time:
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Hawb or Reference Number:
Shipper:
Shipper Address:
Shipper City:
Shipper State:
Shipper Zip:
Shipper Contact Name:
Shipper Phone Number:
Shipper PO or PU Order Number:
Ultimate Destination:
Pieces:
Weight in Lbs or Kilos:
Length:
Height:
Width:
Routing:
Other Instructions or Special Delivery - Note: Special delivery requests must be authorized in writing, a quote/auth form will be emailed or faxed back please sign, date and return this form to insure special handling :
3451 Unicorn Road
Suite 200
Bakersfield, CA 93308
Phone: 661-836-2388
Toll Free: 800-834-2388
(CA only)
FAX: 661-387-6492