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1. Shipping From
Name
*
Company Name
*
Phone
*
Fax
Email
Date of Shipment
Province / State of Origin
*
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland & Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
City of Origin
*
Postal / Zip Code
Location Type
*
Business with Loading Dock
Business without Loading Dock
Residential Pickup
Tradeshow / Convention Center
Lift Gate Required?
Yes
No
2. Shipping To
Province / State of Destination
*
Alabama
Alaska
Alberta
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland & Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
City of Destination
*
Postal / Zip Code
Location Type
*
Business with Loading Dock
Business without Loading Dock
Residential Delivery
Tradeshow / Convention Center
Lift Gate Required?
Yes
No
3. Item(s) to be Shipped
Item Details
Weight and freight class must be specified for at least one item
Class
Pieces
Package Code
Description
Total Weight
Units
Length
Width
Height
Units
FAK
50
55
60
65
70
77.5
85
92.5
100
110
125
150
175
200
250
300
400
500
Pieces
Bag
Bundle
Box
Crate
Carton
Cylinder
Drum
Envelope
Full Load
Half Load
Pieces
Quarter Load
Rolls
Skid
Tote
lbs
kg
lbs
kg
LTL
Expedited
Intermodal
Truckload
Expedited
Intermodal
Other Services
Dangerous Goods
Protective Service
Insurance
Insurance Value
Comments / Special Instructions
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