Pick-Up Request Customer/Unit InformationCompany: * ATTN: Phone: * Fax: Model (Size): * Serial #: * Job Name: * Job Address: * City: * State: * ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code: * Site Contact: * Phone: * PLEASE ANSWER THE FOLLOWING QUESTIONS(if you answer yes to any of the following/please explain)What date is unit available for pick up?* (Date not guaranteed) mm/dd/yyyy Is there any special way the trailer has to come out? * What hours will the unit be accessible? * Are there fences/security people? * Is the hitch free and clear? * Is there room for our truck to hook up to the unit? * Surface type (soil, asphalt, lime rock, sand)? * Has unit been damaged while on site? * Are axles and tires on the unit (how many axles/tires)? * Has the unit been relocated since original delivery? * Is the site UNION? Do you have ALLIED steps/landing? Unanchored? * Are power, water, sewer, decks, ramps, steps and skirting disconnected from the unit? * ALLIED HAS 7 WORKING DAYS FROM YOUR READY DATE FOR PICKUP OF UNITThe date you have listed above is the date that the unit must be ready. If the ready date should change, please call our office. PLEASE NOTE: To avoid additional charges, please leave keys inside the unit hooked on the stay chain. If the driver arrives and the unit is still in use, hooked to utilities, decks, ramps, skirting, inaccessible due to site conditions or objects, or personal items left inside, additional charges will be incurred. By clicking "I Agree" you confirm that you have read, understand and agree to the above policy and procedure for Allied Trailers Pick-up Request FormI AgreePlease refer to your individual contract to determine your responsibilities.*Any fields marked with an asterisk are required to submit this form.