ASSIGNMENT PROCEDURE

Jose Express, Inc. has the experience to professionally expedite your order with care. Please feel confident in providing us your information, so that we may accomplish your goal in 3 easy steps.
1. You may provide information and submit request 
2. We will reply within an hour with a proposal 
3. You may confirm our proposal and we schedule accordingly.
All information provided is private and confidential, we will use only to transact your business request.
Please be advised, for all orders payment is due upon delivery or pre-paid basis only.

Client Info: Name *

Address *

City * State * AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code *

Phone Number * Email *

Pickup Info: Name

Address

City State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code

Phone Email

Date

Items or Commodities Description

Qty Value

Order Number Sidemark

Delivery Info: Name

Address

City State AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code

Phone Number Email

Date

Special Notes or Customer Request

How did you hear about us, we are delighted to know?

Select Payment Option: Check on Delivery Credit Card