Air & Ocean Rate Form

Submitted by global admin on Wed, 2009-04-22 15:37

First Name:

Last Name:

Company:

Email:

Address:

City:

State:

Telephone:

Fax:

Mode of transportation:

When will shipment be ready?

Between:

And:

Container size required:

Pick-up City:

Pick-up State:

Pick-up Zip Code:

Destination City:

Destination Country:

Destination Zip Code:

Insurance Required:

Yes

If Yes, please enter value:

Is any part of this shipment hazardous?:

Yes

If Yes, please provide the applicable UN Numbers as well as dimensions and weight of the hazardous items.:

Cargo Special Handling Requirements:

Documentation Requirements:

NFI Corporate Headquarters