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Name: Address: City: State: Zip Code: E-mail: Phone Day: Phone evening: Year, Make, Model of Vehicle Approx. Pick-up Date Is vehicle Operable Your Salesperson PICK UP FROM: Name: Address: City: State: Zip Code: Phone Day: Phone evening: DELIVER TO: Name: Address: City: State: Zip Code: Phone Day: Phone evening: TOTAL COST LESS DEPOSIT: $200.00 BALANCE DUE CLIENTS NAME E-Mail: ultimateinc@bellsouth.net Per Agreement Term Deposit is Non-Refundable if Order is Cancelled! Special Instructions: $200.00 Deposit Required Money Order or Cash Send Priorty Mail, UPS or FEDEX Payable To: Ultimate Logistics, Inc. 3121 W. Hallandale Bch. Blv. Ste. 113 Pembroke Park, FL 33009
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E-Mail: ultimateinc@bellsouth.net
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