Jefferson County Chamber of Commerce Member

"Thank you for supporting small businesses"
Patslimo

ERU Services Order Form

Please fill in the form below to submit your services order.

Your Information
Name
Phone
Pickup Information
Contact
Company
Address
Department		Floor/Suite
City		State				Zip Code
Phone							Extension
Email
Delivery Information
Contact
Company
Address
Department		Floor/Suite
City		State				Zip Code
Phone							Extension
Email
Package Information
Type of Service
	Direct Premier Rush (within 90 mins, 40 mile radius) Economy (within 3hrs) Regular (within 5hrs)
	Round Trip?	YesNo
Date of Pick-Up (mm/dd/yyyy)
Package Ready Time (hh:mm)		AMPM
Number of Pieces		Approx. Total Weight (lbs.)
Description & Delivery Instructions
How would you like to be contacted?	Mail     Fax     Email     Phone

Thank you for visiting our website! We look forward to working with you!!!

Corporate Headquarters:                                                                           
PO Box 626, Kearneysville, WV 25430 / Ballenger Creek Pike, Frederick, MD 21703


Direct: (304) 724-2202 or (301) 663-9242
Email: eruservices@eruservices.com or eruservices@aol.com

Site maintained by MadeToShare