Customer Order Form Enter information about your order using the form below. Order Name: Order Email Address: The email address to send order updates to, if the site administrator has selected that option. Customer Notes: Sales Rep: AMPak Logistics Faiz ur Rehman Shipment Ref#: Create Date: Bill To Name: Shipment Type: Prepaid Collect Ship From: Pieces: Ship To: Ship Date: Delivery Date: Weight: DIMS: Description: Driver Name: Carrier Name: Truck Number: Trailer Number: