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General information:  *required fields
* E-mail: * Applicant:
Client reference:
* Telephone: * National Identification Number:
Pick-up information: 
Recogida: WEB /
From To and from To
comments on the pick up:
Pick-up information: 
Comments on the delivery:
Excluded Goods
Information about the service:
  contract complementary services
Complementary Services:

If you wish to hire any of our complementary services, please notify us at the time of pick-up.

Return: No   Yes
Saturday: No  Yes
8:30am: No  Yes
Insurance: Insured amount: Reimbursement: Amount:
Service notices via email and SMS:
Pick up notifications
¿Would you like to receive an information message if there are any incidents at the time of pick-up?
Type: Email/mobile telephone
Delivery notifications
¿Would you like the addressee to receive a message notifying them of the arrival of the delivery?
Type: Email/mobile telephone
¿Would you like to receive an information message on delivery and/or if there are any incidents relating to the delivery?
Notification: Type: Email/mobile telephone
Payment of service:
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