Rider Express Mail Delivery Request
Please provide your name, email, Rider ID, dorm, package #, delivery time and instructions below.
After this form is submitted, a delivery request confirmation will be sent to the email that has been provided :)
Sign in to Google to save your progress. Learn more
Email *
Name: Last, First *
Rider ID # *
# of Packages/ Mail
Dorm Hall *
Dorm # (if requested)
Requested Date of Delivery *
MM
/
DD
/
YYYY
Requested Delivery Time *
Delivery Instructions (e.g. meet outside dorm, bring to dorm room, etc.) *
I understand that while this is a student delivery service, I am responsible for my own mail and am expected to send an email to the Rider mail room that another person, Rider Express, will be picking up my mail. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Rider University. Report Abuse