Contact us Name * First Name Last Name Company name Email * Phone * Country (###) ### #### Type of Medical Delivery Needed * Lab Specimen Transport Pharmaceutical & Prescription Delivery Medical Equipment & Supplies HIPAA-Compliant Document Delivery STAT/Emergency Medical Delivery Other Pickup Location * Address 1 Address 2 City State/Province Zip/Postal Code Country Drop-off Location * Address 1 Address 2 City State/Province Zip/Postal Code Country Date MM DD YYYY Time Hour Minute Second AM PM Description of Item(s) Being Delivered Size & Weight of Package * Small Envelopes ~ 10lbs Medium Shipment ~ 25lbs Large Shipment ~ 50lbs Quantity of Packages Special Handling Instructions Requires Signature Temperature-Controlled Fragile Confidential Handling Urgency Level Standard Delivery Same-Day Rush/ASAP Daily Routes Recurring Shipments Message/Additional Notes How Did You Hear About Us? Google Search Referral Social Media Other Thank you for reaching out to NIA Couriers! Our team will review your request and get back to you shortly.
