(Required)                                                                            (If Applicable)                            
  Name           Company
                   
 
                         (Required)                                                                                                         (Required)                              
Telephone #                            Email  Address 

                            (Required)
 Description  of commodity   

                                                                                   
 Dimensions    Units of measure  ----------- Metric system U.S. customary

      (Required)                                       (Required)             
Number of pieces                  Total  weight        Lbs.         Kg.


 Special  Handling Required?  --- No Yes      Consist of Hazardous Material?    --- No Yes
                                                                                              
                                           
   (Required)   Type Of Container                            Special handling required? Please describe
  -= Select Load Type & Size =- LCL (Less Than Container Load) RO / RO (Roll On - Roll Off) FCL (Full Container Load) 20 Ft. Standard FCL (Full Container Load) 20 Ft. Open Top FCL (Full Container Load) 20 Ft. Flat Rack FCL (Full Container Load) 20 Ft. Reefer FCL (Full Container Load) 40 Ft. Standard FCL (Full Container Load) 40 Ft. Open Top FCL (Full Container Load) 40 Ft. Flat Rack FCL (Full Container Load) 40 Ft. Reefer           

     Origin (Zip Code Optional)                         Destination (Zip Code Optional)
                         

    Method of pick-up and delivery
     
         Door To Door                         Port To Port
           Door To Port                                 Port To Door    
               
                           (If Applicable)                                                                      (If Applicable)
Origin Port         Destination Port