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RATE QUOTE REQUEST Terms of service Estimated date of pick up: Customer's PO number:     Shipment Origin:   City: State/Province: Zip/Postal Code: Country:     Shipment Destination:   City: State/Province: Zip/Postal Code: Country: Shipment Description: Pieces: Weight: pounds kilograms Dimensions: Click here to convert inches to feet or centimeters Length: Width: Height: Inches Centimeters Are these goods hazardous?: Yes No Select a service (Choose one) Next day Domestic 2nd day Domestic 3-5 day Domestic truck International air freight consolidated International air priority International ocean full container International ocean limited cargo liability Select a payment method (Choose one) Prepaid Collect Third Party Billing (enter billing information below) Third Party Billing Information: Third Party Name: Street Address: City: State/Province: Country: Zip Code: Telephone: Shipment Insurance Information: Insurance Requested: Yes No Amount to Insure: Your communication preference is: E-mail Telephone Fax Company Name: Your Name: Your Title: Telephone: Fax: E-mail (required): Address: City: State/Province: Zip/Postal Code: Country: Additional Information:

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