Intake form

Help us serve you better

Name *

Email address *

What type of service do you require?

Please select at least one option.

Same-day delivery

Scheduled delivery

Freight services

Residential delivery

Commercial delivery

What is the pickup address?

What is the delivery address?

What is the estimated weight of the package?

What is the dimensions of the package (LxWxH)?

What is your preferred delivery date?

Do you require any special handling?

If yes, please describe the special handling requirements.

What is your contact number?

How did you hear about us?

Additional questions or comments

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Shakirov & Co. Logistics