A-Way Express Order Form

For Basic same-day service, please fill out and send this form below. You will be contacted by email once the delivery is complete.

For Rush or Urgent service please call us at 416-424-2266 to place your order with one of our Customer Service Reps.

A-Way Customer Account Number *

Company Name *

Contact Person *

Contact E-mail Address *

Pick Up

Pick-Up Address *

City *

Province *

Postal Code *

Pick-Up Contact Person *

Pick-Up Location Telephone *

Drop-off

Drop-off Company/Org.

Drop-off Address *

City *

Province *

Postal Code *

Drop-off Contact Person *

Drop-Off Location Telephone *

Instructions

Is a Signature Required? *

Yes

Service Type *

* For Rush or Urgent delivery please call us at 416-424-2266 to place your order.

Basic (Same-day)

Delivery Date *

Delivery Date

YYYY

Pick-Up Time *

Number of Packages *

Approx. Weight *

In lbs for each package. Use numbers only.

Closing time for recipient if known:

Additional Instructions

Please email me with the price of this order

Yes