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Name
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First
Last
*
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Email
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Phone Number
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Transportation Type
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Air
Ocean
Express
Multi-Modal
Truckload
Less-Than-Truckload
Describe Multi-Modal Here
*
FOR OCEAN or AIR SHIPMENTS
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Door to Door
Same Day
Second Day
Door to Airport
Next Day
First Flight Out
Describe Container
*
Full Container
LCL (Less-than Container Load)
Full container if shipment takes up more space than a 20' container
Shipment Value
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Total Number of Pieces
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Length of Each Piece
*
Height of Each Piece
*
Width of Each Piece
*
Total Weight (lbs)
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Commodity Being Shipped
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Please describe exactly what you are shipping
How is your cargo or freight packed?
*
Bulk
Cases
Container
Pallet
Boxed
Crated
Drum
Unpacked
NOTE: (if cargo is on a pallet, please make sure the pallets are heat treated for the cargo to Euro-zone, Japan, China, Korea, Australia and South America countries)
Are there any Hazardous Materials in this shipment?
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Yes
No
Not Sure
PICK-UP / ORIGIN
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Line 1
Line 2
City
State
Zip Code
Country
Enter NA in Address Line 2 unless needed
Pick-up Location Type
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Residential Address
Commercial Address
Airport
Sea Port
Date and time cargo or freight is ready for pick-up
*
Month , Day , and any other special instructions
DESTINATION / DELIVERY TO
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Line 1
Line 2
City
State
Zip Code
Country
Enter N/A in Address Line 2 unless needed
Destination Location Type
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Residential Address
Commercial Address
Airport
Sea Port
Expected Arrival Date of Shipment
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Month, Day, Year, any other additional information
Any additional information you want us to know about this shipment?
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