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Rate Request Form
Please provide the following contact information:
First Name
Last Name
Company
Your Company Reference
Company Address
Company Address (cont)
City
State
Zip Code
Country
Work Phone
Work Fax
E-mail
Company Website Address:
Mode of Shipment: SELECT HERE Ocean Freight - Full Container Ocean Freight - Less Than Full Container Airfreight Uncontainerizable Cargo
Origin of Shipment:
Port of Loading: (if not point of origin)
Port of Discharge:
Final Destination: (if not port of discharge)
Desired Shipping Date: January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Commodity:
Harmonized Code (if available):
Value of Shipment
Method of Transportation: Break Bulk
Total Number of Pieces:
Type of Package: SELECT HERE Carton Crate Pallet Skid Other
Total Gross Weight: lbs kgs
Method of Transportation: Containerized Cargo
Total Number of Containers:
Specify quantity for each container type:
20 ft standard
40 ft standard
45 ft standard
20 ft open top
40 ft open top
45 ft high cube
20 ft flat rack
40 ft flat rack
20 ft reefer
40 ft hi cube
40 ft reefer
Terms of Shipment: ExWorks FAS FOB CFR CIF
Prepaid of Collect ? Prepaid Collect
Terms of Payment ? Open Account Sight Draft Letter of Credit
If Letter of Credit do we prepare ? Yes No
Do you require insurance ? Yes No
Is shipment subject to HAZMAT ? Yes No
Special Instructions:
Please hit the 'Submit Form' button only once & wait for the 'Confirmation' Page to appear.(This may take several seconds)
Samuel Shapiro welcomes the opportunity to bid on your freight.We will get back to you as soon as possible.
