QMS DC Courier Order Form * To place a linestanding order click Linestanding Order Form Your Personal Information Name Email Phone Number() Company name Address City State Zip Code Payment: CashCheckQMS account*Credit Card # *Credit Card info: Fill in the following only if you chose to pay by credit card Name on Card Card Type VisaMasterCardAmerican Express Card Number Expires on01 - Jan02 - Feb03 - Mar04 - Apr05 - May06 - Jun07 - Jul08 - Aug09 - Sep10 - Oct11 - Nov12 - Dec 202120222023202420252026202720282029 CCV / Security Code Address Address 2 City State Zip Code Pick up at: Name Company Name Address City State Zip Code Phone Number() Deliver to: Name Company Name Address City State Zip Code Phone Number() Notes or Special Instructions: Description of Materials EnvelopeBoxOther Type of Service RegularRushExclusive Ready Time: : AMPM Size (inches): Length Width Height Number of Pieces: Weight (lbs.): * Note This form is for occasional online users. We have also developed a state-of-the-art, fully functional online tracking and ordering system to allow you to enter new jobs and check the status of any delivery. Simply click on Online System.
