1.    * Describe your needs and priorities :
            

    2.    * Business Name:
            

    3.      Mailing Address:
            

    4.    * Your Name:
            

    5.    * Your position:
            

    6.    * Telephone:     Ext.

    7.      Fax:

    8.    * E-mail address:

    9.      Website:

    10.    Delivery Methods:    
                No. Company Vehicles  
                No. Owner-Operators / Contractors  
                No. Bicycle Messengers   
                No. Motorcycles / Scooters   
                No. Foot Messengers   
                No. Trucks Over 10,000 GVW   

    11.    Check all that apply to your operation

                Routed Delivery      Mailroom / Facility Mgmt. Svcs. 
                Transport of Financial/Bank Docs.       Warehouse      
                Passenger Transport       Air Forwarding /Air Freight   
                Legal Services (non-delivery)  

    12. Approx. annual revenues (optional but helpful)   $

    13. * Time Frame / Decision Date: