Public Customer Care

Supporting Government, Education, Healthcare and EPP Business

Pick Up & Redelivery Request Form

Request for shipment to be picked up from one address, and delivered to another address. One Dell Order/Invoice Per Request.

Indicates required field

	Requestor:

	Requestor E-mail:

	Number of boxes to pick up:

	Box(s) content:

	Weight(s) of box(s):

Invoice/Order Number:

(9 digits)

Lookup #

Pick Up Address Information

	Contact Name:

	Phone Number:

	Company Name:

	Street Address:

	City:

	State:

	Zip:

	Information to assist carrier in locating address:

Redelivery Address

	Contact Name:

	Phone Number:

	Company Name:

	Street Address:

	City:

	State:

	Zip:

	Information to assist carrier in locating address:


	Please provide reason for request of pick up and redelivery:

	Comments / Suggestions:

If the product is no longer at the address it was originally shipped to from Dell...


	...please provide this additional information.

	Physical street address:

	Physical city:

	Physical state:

	Physical country:

	Phone #:

	On-site contact (first name last name):

	On-site contact's e-mail address:

	Purchase Order # (if available):

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