ATM-Shipment

First Name*

Last Name*

Company Name*

Phone Number*

Email*

Please List Dimensions (Length (in), Width (in), Height (in)) & Weight (lbs) per Piece

Number of Pieces*

1. Dimensions

1. Weight

2. Dimensions

2. Weight

3. Dimensions

3. Weight

4. Dimensions

4. Weight

5. Dimensions

5. Weight

6. Dimensions

6. Weight

7. Dimensions

7. Weight

8. Dimensions

8. Weight

9. Dimensions

9. Weight

10. Dimensions

10. Weight

Product Description*

Service(s) Requested - Please select one or multiple services you would like quoted.*

Air Charter Next Flight Out Next Day Air Second Day Air LTL Ground Expedite (please include any special request below; EX: cargo van, flat bed, enclosed vehicle, two man team, etc.)

Special Request

Next Day Delivery Date

Next Day Time Requested

Ready Date*

Time*

Declared Value *

ORIGIN

Origin Company Name*

Street Address*

City

State*

Zip

Contact Name:

Company Phone:

Cell:

Email

Order/PO Number:

Shipping Close Time:

DESTINATION

Destination Company Name*

Street Address*

City

State*

Zip

Contact Name:

Company Phone:

Cell:

Email

Order/PO Number:

Shipping Close Time:

Payor

Who will be paying for the freight charges? *

Payor

Please fill out the following for the 3rd party:

3rd Party Company Name*

Street Address*

City

State*

Zip

Contact Name:

Company Phone:

Cell:

Email

Order/PO Number:

Shipping Close Time:

Special Instructions*

We do not ship personal effects or privately owned items (clothing and jewelry) normally worn or carried on the person.

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