Special Shipping Request Form | 1st Leading Solutions

Name*

First Last

Email*

Phone*

Type of Shipment*

Blanket Wrap
LTL
Truckload
Flatbed
Final Mile
Other

Origin*

City State / Province / Region ZIP / Postal Code

Destination*

City State / Province / Region ZIP / Postal Code

Commodity Description*

Note if it is hazardous or requires special care

Commodity Value

Class of Freight*

If known or applicable

Number of Units and Description

Pallets

Bundles

Crates

Containers

Boxes

Other

Dimensions*

L" x W" H" and weight in lbs. of each shipping unit

Any Accessorials or Additional Services Requested

Will this require crating, special handling, residential delivery, lift-gate required at pick-up and/or delivery, limited access, stairs, tarps, chains, straps, etc.

When does it need to arrive by?*

Do you need additional insurance?*

Yes
No

Any additional questions or comments not included above:

Shipping Quote Request Form

Number of Units and Description