Maria Bethencourt

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Customer

Location

Dispatch
New Order

Ace Office Supplies - Place New Order

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 Date:
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:
Round Trip:
Pieces:
Pallets:
Weight:
Oversize:
Insurance (Max coverage $75,000):
Notes:

Estimate:$0.00 | Once they click the Receive Estimate button, the total amount would change, and the Proced to Confirmation button will appear (this I'll do with js)

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