01. Freight Quote Contact Information

First Name

Work Telephone

Last Name

Extension

Company Name

Mobile Phone

Address

Email Address

Address

Contact Me By

Select One Work Telephone Mobile Email

City

Province / State

---------------------- Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario P.E.I. Quebec Saskatchewan Yukon Alabama Alaska Arkansas Arizona California Colorado Connecticut D.C Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

Postal Code / Zip Code

02. Freight Quote Shipping Information

Check Appropriate Boxes:
Method of Transportation    Ground    Rail     Ocean    Air

Origin

Destination

City

City

Province / State

---------------------- Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario P.E.I. Quebec Saskatchewan Yukon Alabama Alaska Arkansas Arizona California Colorado Connecticut D.C Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

Province / State

---------------------- Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Ontario P.E.I. Quebec Saskatchewan Yukon Alabama Alaska Arkansas Arizona California Colorado Connecticut D.C Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

Pick Up At

Business Residential

Pick Up At

Business Residential

Check Appropriate Boxes:
No Loading Dock
No Forklift
Power Tailgate Required

Check Appropriate Boxes:
No Loading Dock
No Forklift
Power Tailgate Required

Class
Choose One Don't Know 50 55 60 65 70 77.5 85 92.5 100 110 125 150 175 200 250 300 400 500

# Pieces

# Pallets
Choose One No Pallets 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

Stackable
Choose One Yes No

Lbs / Kilos
Pounds Kilograms

Total Weight

Equipment Required
Choose One Not Sure 53' Highway Van 53' Refrigerated Van 53' Heated Van 26' Straight Truck 26' Straight Truck w/ Power Tailgate Flatbed Trailer Stepdeck Trailer Other

Service Type
Choose One LTL (Less Than Truckload) Truckload Expedited! Heavy Haul

Payment
Choose One Prepaid Collect 3rd Party

Currency
Choose One U.S. Canadian

Shipment Pickup Date
Actual Approximate
January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2009 2010 2011 2012 2013 2014 2015

Description of Goods

Special Instructions

For multiple shipments please submit each rate quote request separately. If your shipment is not palletized or if pallets are larger than 4' x 4' please provide dimensions (L x W x H) or the exact trailer footage required. If expedited service is required please advise when you need the shipment delivered.