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Customer

Location

Billing
Invoice Edit
Add Line Item

AmerisourceBergen - Invoice 001049769 - Add Line Item

Pick-up Location
Pick-up Location:
Company Name:
First Name:
Last Name:
Address:
Required
Address 2:
City:
State:
Required
Zip:Required
Phone (work):
Phone (home):
Email
Save details as new entry?
Pick-up Datet:
Pick-up Time:

Delivery Location
Delivery Location:
Company Name:
First Name:
Last Name:
Address:
Required
Address 2:
City:
State:
Required
Zip:Required
Phone (work):
Phone (home):
Email:
Save details as new entry?
Delivery Date:
Delivery Time:

Delivery Options
Service Type:
Miles:
Pieces:
Desktop:
Two-Man Delivery:
Pallets:
Weight:
Cargo Van:
Box Truck:
Airport:
Campus, Hospital, Mall:
COD & Type:
Dimensions: (should we eliminate and just create an oversize option? If so what rate?)
Insurance (Max coverage $75,000):
Round Trip:
Notes:

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