Medical Practice Pickup

This form is for interoffice mail and lab shipments shipped to and from registered medical practices only. All items should be securely packaged and ready to ship when you submit this pickup order.

If your medical practice is not registered, please call customer service at: 631-629-4780 for assistance.

Note: If you might not be present at the time of the pickup,

please include your mobile number in the notes

so we can contact you regarding your pickup order, if necessary.

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Pickup Order:

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Your Name: *

Practice: *

E-mail address: *

Street Address: *

Telephone: *

Time:

Interoffice Mail

Sealed Lab Materials

Other (please specify in notes)

Notes:

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On-Demand Long Island Courier Services - Same Day & Route

Serving the New York Metropolitan Area & Beyond

Pickup: 631.629.4777 | Customer Svc: 631.629.4780

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Get it there A.S.A.P. with ProntoPak Exclusive Same-Day Service!

For service information, quotes and Pickup service call: 631.629.4777

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