ORIGIN ZIP CODE

DESTINATION ZIP CODE

DESCRIPTION OF COMMODITY

# OF PIECES

VALUE OF GOODS

LENGTH, WIDTH, HEIGHT (note standard or metric)

TOTAL WEIGHT (note standard or metric)

COMPANY NAME

FREIGHT CLASS
--Select one--NOT SURE1ST CLASS2ND CLASS

TYPE OF PACKAGING
--Select one--PALLETCRATEOTHER

YOUR NAME

PHONE NUMBER

EMAIL

YOUR MESSAGE