Wadhams Enterprises, Inc.
RIST Transport, LTD. ~ dba Howards Express
Pickup Request Form


Contact Information

Name
Phone
Email

Pickup Information

Ready Date
Ready Time AM PM
Close Time AM PM

Shipper Information

Name
Address (Full)
City
State
ZIP
Contact
Title
Phone
Consignee Information

Purchase Order #
Name
Address (Full)
City
State
ZIP
Phone

Freight Information

Pallets
Pieces
Weight
Freight Class
Freight Description
Hazmat Yes No
Hazmat UN #
Special Instructions

Billing Information (3rd Party Bill To:)

Name
Address
City
State
ZIP
Phone
Corporate Office -- 369 Bostwick Road Phelps, NY 14532 -- (315) 789-8871