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Company:
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You are the: Consignee
Shipper
3rd Party
Origin City, State:
Origin Zip:
Destination City, State:
Destination Zip:
Service Requested: 2nd Day AM
2nd Day PM
3-5 Day
Next Day AM
Next Day PM
Same Day
Other
If other, please describe:
Shipment ready time Date:
Time:
Delivery deadline Date:
Time:
Total Pieces:
Total Weight:
Please indicate dimensions (in inches) using the following format:
Numer of Pieces @ Length __ x Width __ x Height __
(Example)
2 @ 48" x 36" x 36"
1 @ 24" x 24" x 24"
Check if you are shipping dangerous goods:
Declared Value:
DECLARED VALUE FOR LOSS OR DAMAGE NOT TO EXCEED $50.00 UNLESS GREATER VALUE DECLARED HERE AND EXTRA CHARGES PAID.
Value for Customs: required for international shipments
COD:
Special Instructions:
Check for expedited ground service:
Select vehicle size (required for expedited ground service): Panel van (maximum weight = 2000 lbs.)
Cube van (maximum weight = 3500 lbs.)
24' Straight truck (maximum weight = 10,500 lbs.)
Semi (maximum weight = 45,000 lbs.)