PICKUP REQUEST – LOR Diagnostics

If you have NOT yet created an account with us, please visit our online Account Enrollment Form.

This form should be used to request UPS and FedEx pickups or courier service. Request by emailing pickup@LORdiagnostics.com or text (601)-401-9077

Type of Pickup

Account Name:

Pickup Address:

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

Requested pickup date:

Desired pickup window (start):

Desired pickup window (end):

Note: Pickups can only be scheduled one day in advance. If the pickup window you requested is unable to be scheduled, we will default to scheduling the next available pickup window. This may result in a pickup being scheduled for the following day.

Person requesting the pickup:

Email for pickup confirmation:

Phone number for pickup questions:

Notes:

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