Company Name:

Contact Name:

Title/Position:

Address:

City:

State:

Zip:

Phone:

Fax:

Email Address:

Web Site:

Principal imports:

Principal exports:

Average number of imports / month:

Average number of exports / month:

How do you ship: Air   Ocean   Both

Shipments are: Pre-paid   Collect   Both

Main destination / origin points (i.e. Los Angeles to London):

Commodities to be transported:

Indicate if this shipment is LCL or FCL or Air Freight:

If LCL or Air Freight:

Number of cartons:

Length in feet:

Width in feet:

Height in feet:

Weight per carton:

If FCL:

Number of containers:

Size of container:

  FOB Port   ex:factory

Where will this shipment be transported from and to? (i.e. Shanghai Port to Los Angeles Port): * If door service is required please list door address at origin or destination

Terms of Sale: FOB   CFR   CIF   ex:factory

Other:

Cargo Insurance required: Yes   No

What is more important to your business:
Transit time and service   Price

Do you require shipment tracking, digital imaging, or compliance reporting?
Yes   No

If our rates and services are competitive, will you give us a trial shipment?
Yes   No

Please provide any other details, special instructions, or simply best time to reach you:

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