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Sell Used Copiers
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Search for:
Sell Used Copiers
Copier Dealers
Copier Leasing Partners
Copier Exporters
Logistics
Ship Copier – US Bank
Ship Copier – Wells Fargo
Used Computers
Apple
Apple Desktops
Apple Laptops
Apple Monitors
HP
HP Desktops
HP Laptops
HP Monitors
Projectors
Inventory
DOMESTIC SHIPPING FORM 5524
*
required fields
Pickup Location:
Delivery Location:
Company
Company
Address 1
Address 1
Address 2
Address 2
Zip
Zip
City
City
State
State
Contact
Contact
Main No.
Main No.
Fax No.
Fax No.
Mobile No.
Mobile No.
Email
*
Email
*
Billing/Submitted by Information:
Same As Pickup:
Same As Delivery:
Other:
Company
Address 1
Address 2
Zip
(city/state will auto-fill)
State
City
Contact
Main No.
Fax No.
Mobile No.
Email
*
Number of Assets:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
(leave weight blank if you are not sure)
Make
Model
Serial Number
Asset No.
Lease No(s).
Weight (lbs):
Insurance Amount: $
Pickup location type
:
Residential
Commercial
Delivery location type
:
Residential
Commercial
Accessible to 53ft truck/trailer at pickup time?
Yes
No
Inside pickup? (select "no" if <100' from exit)
Yes
No
Stairs inside facility? If so how many (below)
Yes
No
If so how many inside:
COI required? (Certificate of Insurance):
Yes
No
Accessible to 53ft truck/trailer for delivery?
Yes
No
Inside delivery? (select "no" if <100' from exit)
Yes
No
Stairs inside facility? If so how many (below)
Yes
No
If so how many inside:
COI required? (Certificate of Insurance):
Yes
No
Pickup Loading Facility (choose one)
Freight Dock
Street Level Accessible
Unleveled or Stairs
* If "YES" for stairs tell us how many outside:
Notes:
24hr pre-call mandatory.
Delivery Loading Facility (choose one)
Freight Dock
Street Level Accessible
Unleveled or Stairs
* If "YES" for stairs tell us how many outside:
Notes:
24hr pre-call mandatory.
24hr Pickup pre-call info:
Contact
with 24 hour notice at:
( E.g. Contact
Contact Name
with 24 hour notice at:
Contact Phone number
)
Open
to
Days
(E.g. Open 8am to 5pm M-F)
24hr Delivery pre-call info:
Contact
with 24 hour notice at:
( E.g. Contact
Contact Name
with 24 hour notice at:
Contact Phone number
)
Open
to
Days
(E.g. Open 8am to 5pm M-F)
I agree to the
terms & conditions
of this shipment.
A copy of this form will be sent to the “Bill to” party.