Name: *
* Required Information
 RFQ Requester Information
Company Name: *
Address: *
City: *
State: *
Zip Code: *
E-mail: *
Phone: *
Fax: *
  Freight Description
  Trailer Type
Flatbed
Single-Drop Deck (Stepdeck)
Double-Drop Deck
Refrigerated Trailer
Van
Other:
  Truckload/LTL
Dedicated Truckload
Less Than Truckload (Partial Shipment)
 Route Information
Origin:
Zip Code:
or
City:
State:
Destination:
Zip Code:
or
City:
State:
Stops Between Origin & Destination (if applicable)
:
Zip Code:
or
City:
State:
or
or
 Weight & Dimensions
Total Weight
(Required for TL or LTL)
Total Dimensions
(L x W x H) (Required for LTL)

# of Pieces
Hazardous
Lbs
x
x
 Timeframe
Ready For Pick-Up:
(MM/DD/YY)
Pick-Up No Later Than:
(MM/DD/YY)
Deliver No Later Than:
(MM/DD/YY)
 Service Options
Tarp Covering
Declared Value of Goods  US$
COD or Third Party Billing
Appointment Loading/Unloading
Expedited Shipment
Driver Wait Time (over 2 hours - origin or destination)
Additional Comments




























































































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