First Name
Last Name
Email
Phone Number
Preferred Method of Contact Email Phone
Company Name
Payment Terms Prepaid Collect Third Party
Shipper Name
Pick Up Street Address
City
State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Vermont Virginia Washington West Virginia Wisconsin Wyoming
Postal Code
Consignee Name
Delivery Street Address
City 2
State/Region 2 Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia 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 Vermont Virginia Washington West Virginia Wisconsin Wyoming
Postal Code 2
Pieces/Unit Count
Type of Unit Skid Crate Drum Racks Rolls Tote Loose Pieces Carton
Shipping Class 00 100 110 125 150 175 200 250 300 500 400 50 55 60 65 70 77.5 85 92.5
Weight
Length
Width
Height
Length 2
Width 2
Height 2
Length 3
Width 3
Height 3
Accessorials DetentionLiftgateInside DeliveryHazardous MaterialsFragileDelivery DirectNotifyGuaranteed ServiceRetagging/RemarkingStorageDrop & HookOdd Sized VolumeStackable FreightDo Not Double StackFreeze ProtectionWeekend DeliveryResidential Delivery ChargeRedeliveryReconsignmentContainer Freight Station FeeChicago LoopCross BorderExcessive LengthBlind Shipment ChargeAdditional Insurance
Notes
Comments