Ally Financial Pickup Request

Job Type*

Re-Source Partners to pick up at my site
We will ship to Re-Source Partners

Location*

Site Name*

Pick Up Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Contact

Name*

First Last

Phone*

Email*

Secondary Contact

Name

First Last

Phone

Email

PO Number

Tracking Number

Equipment Details

Esitmated Quantity

Product Type	Quanity	Model Description

Does Equipment Have a BIOS or Hard Drive Password

Yes
No

Enter Password*

The following is required for Pickup Jobs Only

Loading Dock Available

Yes
No

Dock Number

Dock Hours*

Grade Level Door Available?

Yes
No

Tractor Trailer Accessible?

Yes
No

Liftgate Truck Required?

Yes
No

Manifest Uploads

What Floor is Equipment On?

Elevator Available

Yes
No

Is Equipment Consolidated?*

Yes
No

Is Equipment At Dock?*

Yes
No

(If No) Eqipment Location

Is Equipment on Pallets?

Yes
No

Estimated Pallet Count

Equipment Shrinkwrapped*

Yes
No

Pickup Comments

Specific Pick-up/Ship Date Requested?

Yes
No

If Yes is selected, 3rd Party Freight charges may apply

Requested Pick-up/Ship Date

Requested and Authorized By

First Last

Requested by Email Address

Primary Contact

Secondary Contact

Equipment Details

The following is required for Pickup Jobs Only

Recent Posts

Recent Posts

Social Media