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ONE TIME MOVER        

SHIPPING REQUEST

Parkway Auto Transport Inc

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

PICKUP

(if different than above)

DELIVERY

(if different than above)

VEHICLE #1

Select One:

VEHICLE #2

Select One:
** If PREMIER Enclosed carrier selected,  please call Parkway at 800-626-4587 for enclosed carrier availability and appropriate quote.

TRANSPORT RATES

(includes fuel surcharge)


(Min. $200 deposit required.  Follow instructions on confirmation page after submission).

PAYMENT INFORMATION

Options: COMPANY CHK, CASHIER CHK, OR MONEY ORDER
(PAYABLE TO PARKWAY AUTO TRANSPORT)
 
   
   
   
*Balance:

EMAIL NOTIFICATION

If provided a copy of your order will be emailed to you.
 

TERMS & CONDITIONS

* 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
Submit to complete your order and obtain your Confirmation Page/Number.  If you do not receive a Confirmation Page, 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 a Confirmation Page or contact Parkway for assistance at 800-626-4587.
for office use only