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SECTION A
Please complete the address form
Company Name:
Contact Name:
Address 1:
Address 2:
City:
Province:
Postal Code:
E-Mail Address:
Phone Number:
FAX Number:
What is the best way to contact you in regards to your quote
E-Mail
Phone
FAX
SECTION B
Please complete the following information about your shipment.
What type of equipment do you require?
Dryvan
Refrigerated Unit
Flatbed
Stepdeck
Dbl Drop
I don't know
Is your shipment:
LTL or
FTL
What is the size of your shipment?
1 - 6 Skids (1/4 Load)
7 - 12 Skids (1/2 Load)
13 - 18 Skids (3/4 Load)
19 - 24 Skids (Full Load)
Shipment Weight
Is your freight time sensitive
Same day
Next day
2 days
A.S.A.P
Should have gone yesterday
Hazardous goods?
No
Yes
LOAD ORIGIN:
City:
Province/State:
Pickup Date:
LOAD DESTINATION:
City:
Province/State:
Delivery Date:
SECTION C
Please complete the following information
.
What is current method of shipping
Freight Broker
Expedited Carrier
Courier Company
Freight Forwarder
Common Carrier
I don't usually arrange shipments
Type of business
Manufacturing
Warehousing
Distributor
Other
Do you have a Website?
No
Yes
If yes, what is the URL:
Would you like to subscribe to our regular newsletter via email?
No
Yes
Comments or
Additional
Information:
