PRODUCTS

Merchandise Value (Obligatory)

Type of Merchandise

NOTE: If there are many products, please attach bill

COLLECT

Postal Code (Obligatory)

City

State / Province

Country

DELIVERY

Postal Code (Obligatory)

City

State / Province

Country

GROUND SERVICE INFORMATION

Refrigerated boxPlatformOversizedO/D O/WIntermodal

Full Charged (FTL)Consolided charge (LTL)

Dangerous materials?YesNo

Number of Pieces

Dimensions

MetersFeet

Weight

KgsLbs

StackableNon Stackable

Additional Information

QUOTE TO

Contact Name (Obligatory)

Company Name (Obligatory)

Address (Obligatory)

City

State / Province

Country

Postal Code (Obligatory)

Email (Obligatory)

Phone (Obligatory)

Agent

Notes