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EDMONTON DIRECT: (780) 429-0374 - DRAYTON VALLEY: (780) 542-2632 - EDSON: (780) 725-0204 - ROCKY MOUNTAIN HOUSE (403) 847-1250

FORMS

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Schedule Your Pickup: Two Easy Options

Option 1: Download and Fill Out the PDF

1. Click the Download PDF button below to download the pickup request form.

2. Fill out the form with all required details.

3. Email the completed form to dispatch@rocketexpress.ca to schedule your pickup.

 

Option 2: Use the Online Form Below

1. Complete the online form directly on this page.

2. Once submitted, the form will automatically be sent to our dispatch team.

3. You’ll receive a confirmation email with a copy of your request for your records.

4. Your pickup will be scheduled, and our team will follow up if needed.

 

Choose the option that works best for you and let us handle the rest!


 Phone: (780) 542-2632 | Fax: (780) 621-1808 |

Email: dispatch@rocketexpress.ca 

6518 50 Avenue, Drayton Valley, AB T7A 1R3 

Bill of Lading

PAYMENT OPTIONS
PREPAID
COLLECT
3RD PARTY BILLING

Received at the point shown on the date specified and from the shipper mentioned herein, the property herein described in apparent good order, except as noted (contents and conditions of contents of packages unknown) marked, consigned and destined as indicated below, which said carrier agrees to carry and deliver to the said consignee at the said destination if on its route, otherwise to deliver to another carrier on the route to said destination, subject to the classification and tariffs in effect on the date of shipment. It is mutually agreed that each carrier of all or any said property over all or any portion of said route to the destination, and as to each party at any times interested in all or any of said property, that every service to be performed hereunder shall be subject to all the conditions not prohibited by law, whether printed or written which are herein agreed to by the shipper and accepted for himself and his assigns. The contract for the carriage of the goods listed in this bill of lading is covered by regulations in force in the jurisdiction at the time and place of shipment and is subject to the conditions set out in such regulations.

PICK UP TIME
:
HEAT REQUIRED
YES
NO
PLACARDS REQUIRED
YES
NO
PLACARDS PROVIDED
YES
NO
ITEM
ITEM
ITEM
ITEM

I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, are properly classified and packaged, have dangerous goods safety marks properly affixed or displayed on them and are in all respects in proper condition for transport according to the Transportation of Dangerous Goods Regulations.

NOTICE OF CLAIM

(a) No carrier is liable for loss, damage or delay to any goods under the Bill of Lading unless notice thereof setting out particulars of the origin, destination and date of shipment of the goods and the estimated amount claimed in respect of each loss, damage or delay is given in writing to the originating carrier or the delivering carrier within 24 hours after the delivery of the goods or, in the case of failure to make delivery, within nine (9) months from the date of shipment.

(b) The final statement of the claim must be filed within thirty (30) days from the date of shipment together with a copy of the paid freight bill.

SUBJECT TO 10 LBS PER CUBIC FOOT OR 1000 LBS PER LINEAR FOOT USED OVER 10 FEET OF TRAILER

Maximum liability of carrier is $2.00 per lb. ($4.41 per kilogram)

SPECIAL INSTRUCTIONS
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