*** NOTICE ***

Due to the rapid rise in operating costs, we have increased our rates $5.00 to all base prices effective May 26th, 2008.

If you are an established Walsh customer, you can place an order
through this system using your account number.

HOW IT WORKS: When you complete the form below and click SUBMIT, your order will be transmitted to us via e-mail. Our e-mail is normally checked every 5 minutes Monday through Friday, 9 AM to 5 PM. If you require immediate attention to your order, or if you are placing an order outside the above hours, please contact a Customer Service Representative at one of the following numbers:

New York City: 212-682-3800
Queens: 718-291-2220

Nassau: 516-746-4348
Suffolk: 631-244-6868

Fields marked with " * " are required...
PICK-UP INFORMATION:




Name:*
Address:*
City:*
State:*
Zip:*
Who do we see:*
Floor #: *
Room #: *
Telephone:*




DELIVERY INFORMATION:




Name:*
Address:*
City:*
State:*
Zip:*
Attention:*
Floor #:*
Room #:*
Telephone:*




SHIPMENT INFORMATION:

Account Number:* Your Name:* E-mail Address:*
Name to appear on bill:* P.O. # :
What are we taking:
Qty:* Type:* Weight:* Van Needed:* No  Yes 

What time does the pickup location close:* Is it ready now:* Yes No

If not ready today, when will it be ready:*

Type of Service:*

Special Remarks:

Your opinions are valuable to us.  Please to let us know your opinion of this service. Thank you!





Thank you for your assistance.