ORDER FORM


  Phone:
  888 274-4722

Terms and Conditions

Phone: 866 868-1422
Email: dispatch@a2bsystems.com,orders@a2bsystems.com,paul@a2bsystems.com
Fax: 859 274-4094
** Your Email:
** Your Name
** Phone Number

VEHICLE(S) DESCRIPTION:

** Year/Make/Model/Color of each vehicle
** License Plate Number/State and VIN of each vehicle

[A] FROM:

** Requested ship dates (Monday to Friday)
** Person releasing vehicle(s)
** Pick Up Address
Home phone number
Work phone number
Cell phone number(s)
Other phone number/contact
If moving, what is your departure date:
Origin Comments

[B] TO:

** First available date to receive:
** Person receiving vehicle(s)
** Delivery Address
Home phone number
Work phone number
Cell phone number(s)
Other phone number/contact
Destination Comments

PAYMENT INFORMATION:

**  Shipping Quote #
** Price quoted
Reservation/dispatch fee of $140.00 each vehicle
Paypal
Credit card over phone
Balance on Delivery (Payable by cash or cashiers check to trucker at time of delivery)
** Terms and Conditions
Yes - I have read and agreed to the above Terms and Conditions.
Code Verification:

   
 
This quote is for running vehicles only. Vehicles that are inop or with  add-on equipment and/or modifications are subject to extra charges.

The reservation/dispatch fee is due prior to shipment.  It is 100 % refundable if you give A2B Systems a notice to cancel by  email or fax at least 2 business days prior to first agreed date of pick up.

Thank you for your business.