Pegasus Transportation
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Arrange a pick-up
Please provide the following information to arrange a pickup. Pegasus will call you as soon as this message is received.

Important: all fields must be completed unless indicated otherwise.

Ordered by

First name Last name

Pickup Information

Date (mm-dd-yy) Time (00:00)
A.M. P.M.

Delivery Information

Date (mm-dd-yy) Time (00:00)
A.M. P.M.

Shipper

Company name Street address
City State
Zip code Area code
Phone number    

Consignee

Company name Street address
City State
Zip code Area code
Phone number Contact

Shipment information

Commodity Hazardous materials Yes No
# Pallets (not required) # Pieces
Weight (LBS) Payment Prepaid Collect

Special Instructions




Office
502·212·5510
888·280·6500

Pegasus Brokerage
502·212·0694
800·332·5510, ext. 1
Fax: 502·212·0694

Dispatch
502·212·5510, ext. 2
800·332·5510, ext. 2
Fax: 502·212·0699

Safety/Recruiting
502·212·5510, ext. 3
888·280·6500, ext. 3
Fax: 502·212·0655

Maintenance
502·212·0678
800·434·0683
Fax: 502·212·0696

Driver Employment Verifications
www.driverfacts.com
888.844.4730 x84