Request a Quote Form

* = Required Information

DATE REQUESTED

CUSTOMER NAME:

DATE REQUIRED

QUOTE REQUESTED BY:

SEND REPLY TO:

YES

APPROXIMATE

SINGLE SHIPMENT

SHIP DATE

REPEAT BUSINESS

START DATE

IF THIS QUOTE IS FOR REPEAT BUSINESS OR OCEAN CONTAINER TRAFFIC, COMPLETE THE "TRANSPORT MODE" SECTION AND USE THE COMMENTS SECTION TO IDENTIFIED THE ANTICIPATED MONTHLY BUSINESS VOLUMES, COMMODITY, AND ANY OTHER INFORMATION THAT WILL ASSIST IN SECURING

TRANSPORT MODE

AIR

Airport To Airport

Airport To Door

Door To Ariport

Door To Door

FOR ALL OCEAN AND AIR SHIPMENTSIF TO OR FROM DOOR, COMPLETE SHIPPER AND/OR CONSIGNEE INFO IS REQUIRED

Service Code

LCL

20'

40'

40'HQ

OCEAN        COMPLETE THE ABOVE BOXES USING THE FOLLOWING SERVICE CODE
        Port To Port = PTP, Port To Door = PTD, Door to Port = DTP, Door To Door = DTD
*        CONTAINERS DO NOT REQUIRE PCS/WT/DIMS

REQUESTED TRANSIT TIME (IN DAYS)

HAZARDOUS?

Yes

UN NUMBER

CLASS

SHIPMENT CHARACTERISTICS

#PCS

WEIGHT KGS *

LENGTH *

WIDTH *

HEIGHT *

IF MORE SPACE IS NEEDED, USE COMMENTS

POUNDS DIVIDED BY 2.2046 = KILOS

INCHES

SHIPPER NAME

CONSIGNEE NAME

CITY

STATE/PROVINCE

POSTAL CODE

COUNTRY

PREPAID

COLLECT

3RD PARTY ACCT#

3RD PARTY BILLING TO U.S. CREDIT ACCOUNTS ONLY

IF DELIVERY IS REQUIRED WHO WILL PAY:

SHIPPER

CONSIGNEE

DUTY

TAXES/VAT

IF QUOTING DUTIES AND TAXES, PROVIDE THE HARMONIZED TARIFF # OR DESCRIPTION AND COMMERCIAL INV. VALUE,

INVOICE VALUE

CURRENCY?

HS # OR DESCRIPTION 8517.50.1000 Cable Modems

DECLARED VALUE FOR CARRIAGE * At $.50 per $100.00

COMMENTS / SPECIAL REQUIREMENTS