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USA Rate Request Form
Contact Rates Department at 1-888-247-4217 or complete the following form:
Company Name:
Sales Rep:
Company Contact:
Phone Number:
(
)
-
ext
Fax Number:
(
)
-
E-Mail Address:
Origin City & State:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Zip/Postal Code:
Destination City & State:
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Zip/Postal Code:
Is freight on skids?
Yes
No
Number of Skids:
Are they stackable?
Yes
No
Size of skids (specify unit of measure)
Commodity
Is it HAZMAT?
Yes
No
If yes, UN number:
Total weight:
lbs
How late are they open for p/u?
Is there a loading dock at both ends?
Yes
No
When is it moving?
When does it need to get there?
Date:
Time:
Who are you currently using?
Are you rated per lb. or per pallet?
Lb
Pallet
Are there any other quotes needed?
How often do you ship to Canada?
week
month
What are the shipping hours?
AM
PM
to
AM
PM
Any extenuating circumstances such as delivery window, pick up window, lack of equipment to off load, hand bomb, delivery appointment?
Please enter the following ID number "
" (without quotes) in the box below and press "Submit"
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