Robbins Pallets
Customer Pallet Order/Request Form
Use this form
only
for placing pallet order, removal, or estimate requests.
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All required fields are marked with a
*
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If you are a new customer, please check here
Order
Removal
Estimate
*
Company Name
*
E-mail Address
*
Phone Number
Purchase Order #
*
Desired Delivery Date& Time
Fax Number
If shipping address is the same as billing, type "same" into the address field
Billing
*
Address
*
City
*
State
State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NY
NC
ND
OH
OK
OR
PA
OR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
*
Zip Code
Shipping
*
Address
City
State
State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NY
NC
ND
OH
OK
OR
PA
OR
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Due to the massive range in sizes available, only the 2 most common are listed below. For all other sizes simply type in the size and quantiy needed.
Standard Sizes:
Qty
48 x 40 #1 Pallet
48 x 40 #2 Pallet
Other Sizes:
Separate items with a semi-colon
;
If you are requesting pallet removal, please fill in below:
Special Instructions, comments, or requests: