Schedule Pick-up

Air Traffic Management, Inc.
1924 Rankin Road, Suite 300 Houston, Texas 77073
281- 821-2002 or
800 231-0221

Scheduled Pick-up

Pick-up Sheet Complete this form to submit your delivery request
Pick-up being sent by:
Name:
Company:
Phone:			E-Mail Address:
Special Instructions
Material Details:
Total Pieces:			Total Weight:		lbs.
Dimensions and Weight of Each Piece:
	# Pieces:	Weight:	Length:	Width:	Height:
		lbs.
		lbs.
		lbs.
		lbs.
		lbs.
Comodity:			Declared Value:
Pick-up Address:
Company Name:
Address:
City:
State:			Zip:
Contact:		Phone:		Fax:
Delivery Address:
Company Name:
Address:
City:
State:			Zip:
Contact:		Phone:		Fax:
Shipping and Receiving Hours:		Open:		Close:
Reference Number:
Billing Address:
Company Name:
Address:
City:
State:			Zip:
Contact:		Phone:		Fax:
Billing Reference Number:
Check applicable Boxes:
C.O.D. C.O.D. Amount:
F.C.C.O.D.
Type of Service
Same Day (Next Flight Out)
Next Day Delivery By:			(Time Requested)
Second Day Delivery			Time Requested:
Deferred (3 - 5 Days)			Date Requested:

Pick-up Sheet