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QUICK QUOTE FORM:     Domestic   |   International

Fill out the following form and we will contact you promptly with a quote.

Requestor - Tell us who you are

Your Name
Company
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Phone
FAX
E-mail

Origin - Tell us where the shipment is and who is shippping it.

City State/Province

Zip/Postal code

Contact
Shipper
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Phone
FAX
E-mail

Destination - Tell us where the shipment is going and to whom

City State/Province

Zip/Postal code

Contact
Consignee
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Phone
FAX
E-mail

Shipment consists of - Describe the piece(s) to be shipped

Quantity Length   Width   Height Units of Measure
x x Inches Centimeters
x x Inches Centimeters
x x Inches Centimeters
x x Inches Centimeters
x x Inches Centimeters

Total number of Pieces

Total Weight LBS. KILOS


Purchase Order Number (P.O.#)

If this Shipment is being paid with more than one purchase order,

enter the additional P.O. numbers

Method of Shipment Air Surface
Service
Pickup Needed ? Yes No

Ready Time

-- hh:mm:ss

Close Time

-- hh:mm:ss
Billing Type

Broker Information

Broker
Contact
Phone

Fax

Special Instructions

Quotation needed by : -- mm/dd/yy

Time : -- hh:mm:ss