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Freight Rate Quote

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Freight Rate Quote

CONTACT INFORMATION
Name:
Telephone:
  Please enter in (xxx) xxx-xxxx format
Email:
ORIGIN
Address
City Prov/State
Postal / Zip Code
Country
Loading Dock? Yes - No
DESTINATION
Address
City Prov/State
Postal / Zip Code
Country
Loading Dock? Yes - No
FREIGHT DESCRIPTION
Pieces
Total Weight Lbs.
Shipment Value [$ CDN]
Hazardous Yes - No
Hazardous Description
Commoditiy Description
HS Code
Dimensions First Skid
Length X Width X Height
Dimensions for additional skids if different size
Length X Width X Height
Length X Width X Height
Length X Width X Height
Length X Width X Height
Length X Width X Height
EQUIPMENT NEEDED
Tractor
Straight Truck
Special Equipment Required: Description
Name of Custom Broker
PICKUP INSTRUCTIONS
Residential
Tailgate
Construction Site
Pickup Date
Pickup Time :
Other
DELIVERY INSTRUCTIONS
Residential
Tailgate
Construction Site
Deliver By
Delivery Time :
Other
ADDITIONAL CONTACT INFORMATION
Name
Company
Address
City
Province/State
Postal/Zip Code
Country
Telephone
Fax
Email
A&B Courier Account #:
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