Intake form

Help us serve you better

Name *

Email address *

What type of service do you require?

What is the nature of your package?

Please select at least one option.

Documents

Medical supplies

Legal papers

E-commerce products

Personal items

What is the pickup address?

What is the delivery address?

What is the package weight?

What is the package dimension (L x W x H)?

Preferred delivery time frame?

Do you require any special handling instructions?

Additional questions or comments

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V&R Courier Service