The entry of the required fields (
*
) is all that is necessary to complete this form. Once your quote is complete, you may create a bill of lading and/or submit a pickup request online.
Origin
Country*:
Zip Code
OR
City:
Destination
Country*:
Zip Code
OR
City:
Shipment Specifics
Pickup Date*:
Load/Unload Options:
Shipper Load
- -
Yes
No
Consignee Unload
- -
Yes
No
Total Dimensions:
Length:
ft Width:
ft Height:
ft
OR
Cube:
cubic feet
Provide a quote for the specified shipment.
Provide a rate line for each class selected (weights will be ignored).
Provide a rate line for all classes.
Handling Units:
Packages:
Weight*:
Class*:
NMFC:
Haz:
# of
type
# of
type
(lbs)
Item
Sub
- -
50
55
60
65
70
77.5
85
92.5
100
110
125
150
175
200
250
300
400
500
-
(e.g. 2 pallets of 50 total cartons)
Description (Optional):
Additional Service Options
Additional Liability Coverage
Declared Value:
$
COD (collect for goods)
Collect This Amount:
$
Sorting and Segregating
Over-Dimension
Construction Site Delivery
Ground Pickup
Ground Delivery
Inside Pickup
Inside Delivery
Residential Pickup
Residential Delivery
Capacity Load
Single Shipment
Arrival Notification
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