CONTACT INFORMATION
   
Company name:
Address:
City:

  PV:    PC:  -

Phone:

  
Fax:

   
Contact:

   
Email:

  
Retype email:

  
Please return quote by: / /  (mm/dd/yy)
   
LOAD ORIGIN LOAD DESTINATION
   
City: City:
Province: Province:
P.C.l:  - P. C:  -
Pick Date/Time: Delivery Date/Time:
   
LOAD DIMENSIONS (specify by piece or overall)
       
Length: Width: Height: Weight (lbs):
Quantity:
Quantity:
Quantity:
Quantity:
         
SERVICE DETAILS
   
Commodity being shipped:
Type of service:
Specialized
Flatbed
Heavy Haul
Wind Energy
Van
Pad Wrap Van
 
Type of delivery: Door to Door
Door to Port
Port to Door
Port to Port
 
Is the freight transferrable?

List any type of equipment preferred/required:

List any special securements preferred/required:
Is tarping required?
   
SPECIAL INSTRUCTIONS OR COMMENTS