Trucking Pickup Request

Trucking & Transportation Services – Pickup Request

Simply fill out the entire form below for a pick up. All pick ups must be submitted by 1:30 PM for same day pick up. Any questions please call 1-800-333-1664.

Company Name:

Company Code:

Contact Name:

Address

Street Address City State / Province / Region ZIP / Postal Code

E-Mail Address:

Phone Number:

Number of Pieces:

Number Of Skids:

Weight:

Destination:

Time Ready:

Closing Time:

CAPTCHA

Capitol Express & Warehousing – 8125 Stayton Drive – Jessup, MD 20794 – Main: 410-792-8004 – Fax: 301-470-2182 – Email: info@capitolexpress.com