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DEALER

SHIPPING ORDER                  

Parkway Auto Transport Inc

P.O Box 308
Clearwater, MN 55320
800-626-4587  FAX #:320-558 2242
parkwayautotransport.com
* denotes a required field
*DESIRED TRANSPORT DATE:
Now

PICK UP:

(If different than above)

DELIVERY:

(If different than above)
VEHICLE INFORMATION
# Year Make Model VIN (Last 8 ) Color Transport Rate
OFFICE USE ONLY
Order #
1
2
3
4
5
6
7
8
9
10
NOTE:Dealer rates include fuel surcharges. Or Quoted Truck Rate
 

PAYMENT INFORMATION

PAYMENT OPTIONS: COMPANY CHECK, CASHIER CHECK, OR MONEY ORDER (PAYABLE TO PARKWAY AUTO TRANSPORT) OR BILL TO (Dealerships only with payment history established)
*SELECT ONE:
 

BILLING INFORMATION:

 
* IMPORTANT! I have, read understand and agree to the Terms and Conditions for transport.
* I acknowledge that my electronic signature is the same as an original signature.
Signature (for printed form) or customer name (for electronic form) is required.
 
*Date:
Now
Print a copy of your order prior to submission or contents will be lost.  Submit to complete your order and obtain your Order Number.  If you do not receive an Order Number, you have not completed an order.  View this screen using your right scroll bar watching for "red" notations of items needing completion.  Continue until your submission provides an Order Number or contact Parkway for assistance at 800-626-4587.