Pickup & Delivery

Real Way Trucking, inc.
216 West Harris Ct., South San Francisco, CA 94080
Tel: 650.244.9851 | Fax: 650.244.9925
TSA# AI5CEE20

 

Date:

Pick-up/Delivery Form

Pickup Type:
 
Shipper
Consignee
Reference #:
 
Name:   Name:    
Address: Address:
Ready Time:  
City/State/Zip: City/State/Zip:   Closing Time:  
Telephone #: Telephone:    
E-mail: E-mail:      
Contact Person: Contact Person:
   
Order Information
 
Pieces
Description
Weight
Length
Width
Height
CuFt.
 
 
 
Total Pieces Total Weight        
Special Instructions:  
Terms and Conditions
Shipper hereby certifies that he/she is familiar with the terms and conditions of uniform straight bill of lading, set forth in the classification or tariff which governs the transportation agreed to by the shipper and for himself and his assigned. Unless a greater value is declared herein, the shipper agrees and declares that the value of the property is release to and amount not exceeding $50.00 for any shipment of 100 pounds or less and not exceeding 50cents per pound for shipment " An additional charge of (or fraction thereon thereof) by which the value declared exceeds $0.50 per pound or $50.00 (whichever is higher).
 
   
   
   
     
Declared Value: