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Required fields are in bold QA's testing message.   Order Form  Name:    Phone:       Email/Text:        Switch Pickup and Delivery (Flip)     Pickup (Stop1) Address   Stop 2 Address   Name  Address  Room  City  State  0ABAKALARAZBCCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMBMDMEMIMNMOMSMTNBNCNDNENFNHNJNMNSNTNUNVNYOHOKONORPAPEPRQBRISASCSDTNTXUTVAVTWAWIWVWYYK Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyHong KongIndiaItalyJapanMexicoNorwayPortugalSpainUK Zip  Contact  Phone  Email    Residence    Name  Address  Room  City  State  0ABAKALARAZBCCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMBMDMEMIMNMOMSMTNBNCNDNENFNHNJNMNSNTNUNVNYOHOKONORPAPEPRQBRISASCSDTNTXUTVAVTWAWIWVWYYK Country  USAArgentinaBrazilCanadaChinaFinlandFranceGermanyHong KongIndiaItalyJapanMexicoNorwayPortugalSpainUK Zip  Contact  Phone  Email    Okay To Leave Residence    Notes:     Stops:   Add  Edit  Delete  ___________________________________________1 : 2 :   Service Items   Pieces Ttl Weight    ?   Ready Time Now       12:00AM 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LargeBox Truck HazmatBox Truck RefrigeratorBox Truck LfgWarehouseLarge Box Truck LfgSprinter VanBox VanStandard Box TruckTractor Trailer H 29x17CGVBike-WalkerMiniVanRefrigerated TruckCustom VehicleFt 24 Strt TruckCustomStringVehicletruckdriverDream ThaiCarWagonSm Cov P/UMid Sz P/UMid Sz Cov P/USUVXeGaMiniVanFull Sz P/UCityVanCargo VanTransitVanCube VanStraightTruckCharacter Counter is a 100% free online characte1FlatBedTractor TrailerBoat Description     Service Summary   Service:    --Unassigned--DirectQAServiceSameday_TonyRegularUrgenStartUrgent DescriptionRouteDistributionAppointmentQA-S.HN/12AAAAAAAASame DayScheduledWarehouseQA Test Service With The Long Name QA Test ServiceStat@vp-Next Day By 5PMQA Pieces Based ServiceRoutedSmithTestS     Pkge Type:  --Not Specified-- AnyPouchRollBoxSkidOvrSzSkidMixPcsOnHoldQAGift     Ready Time:      Ready Date:    Due Time:      Due Date:      Amount:      Order References   Reference B/L(Alias)   Other   Invoice     Billing Information   Payment Options  CashVisaPaypal PG ProcessorMastercardAmerican ExpressDiscover   Email Notification     Send E-Mail or Text Message To:   When shipment is:   --None--CreatedDeletedDeliveredPickedup   --None--CreatedDeletedDeliveredPickedup   --None--CreatedDeletedDeliveredPickedup

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