FOCUS LOGISTICS P.O.D. REQUEST FORM



Please complete this form providing Focus Logistics with some information about your shipment.

We could be reached toll free @ 888-696-0777

Your name: *
Your email address:
Business name:
Phone number: () -*
Fax number: () -
Business address:

City: State/Province: Zip/Postal Code:
Shippers address:

City: State/Province: Zip/Postal Code:
Date that Shipment was Picked-Up:
Shippers Bill of Lading No:
Other Shippers Reference Nos.:
Focus Logistics
Log Number:
Destination of freight:
Estimated delivery date:
How would like to receive the POD?
By E-Mail By Fax By Mail
Additional comments:
* Fields must be filled out in order to submit the form.
Thank you!