Contact Information
Company Name:
Address:
City:   State:   Zip: 
Phone: (000) 000-0000
Fax: (000) 000-0000
Contact:
Email:
Please return quote by:   mm/dd/yy

Load Origin Load Destination
City:
State:
Zip:
Pick Date/Time:   mm/dd/yy
City:
State:
Zip:
Drop Date/Time:   mm/dd/yy

Load Dimensions (specify by piece of overall)
Commodity: WT: L: W: HT: Declared Value: $ Budget: $
Commodity: WT: L: W: HT: Declared Value: $ Budget: $
Commodity: WT: L: W: HT: Declared Value: $ Budget: $
Commodity: WT: L: W: HT: Declared Value: $ Budget: $

* If dimensions are not given we will use book weight & dems for transportation. All rates are per above dimensions; any change from these dimensions may change the rate accordingly. State or local government requirements resulting in changes in routing or any different or additional service provided by carrier shall result in a change of total charges.

If no declared value. All quotes are based on an industry standard of $100,000 cargo insurance. Cargo insurance is subject to insured's tariff which has maximum liability of $1.00 per pound on used equipment and $2.5 per pound on all other cargo, if additional insurance is needed we must be notified in writing and per telephone call to assure proper cargo insurance is in place for the above described load or loads before movement.


Service Details
Type of Service:
Specialized Stepdeck Heavy Haul
Flatbed RGN Van
 
Type of Delivery:
LTL (Less Than Truckload - 7 to 10 Days for delivery after pickup)
TL (Truckload - Reasonable Dispatch)
 
List any type of equipment preferred/required:
List any special securements preferred/required:
Is tarping required?

Special instructions or Comments
Preferred Dispatcher:

How Did You Hear About Us
From:
Location/Source: