RATE REQUEST

  Ocean Service

  LCL

  20?

  40?

  Air Service:

  Standard Express Deferred

* Company Name:

* Your Name:

* Company Address:

* Email:

* Phone:

Fax:

 * Routing

* City

  Zip Code

* State

* Country

From

  Shipper's Door Port or Airport

To

  Consignee's Door Port or Airport

Freight Charges:

  Prepaid Collect

Banking Terms:

  Open Account LC Sight Draft

Insurance Value:

Ship Date:

Due Date:

Declared Value:

Number of Pieces:

Gross Wt:

  Kg lb

Dimensions per piece:

* Product description:

Special Services Required:

  Hazardous

  Perishable

  Subject to Export or Import Restrictions

  Require Packing or Warehouse Services

Special Instructions: