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Request for FreightQuote

Freight Quote Request Form

Quote Requestor's Name *

Controlling Company Name *

Shipper Zip Code *

Ready Date *

Ready Time *

Special Services at P/U (Check all that apply)

Appointment

Lift-Gate

Inside Pickup

Residential

School / University

Consignee Zip Code *

Deliver By Date:

Del By Time:

Special Services at Delivery (Check all that apply)

Appointment

Lift-Gate

Inside Delivery

Debris Removal

Residential

School / University

Total Pieces *

Total Weight *

Commodity Description *

Hazardous Material? *

Yes
No
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If YES UN Number?

Haz Class

1-Explosives
2-Gases
3-Flammable Liquid & Combustible Liquid
4-Flammable Solid, Spontaneously Combustible & Dangerous When Wet
5-Oxidizer & Organic Peroxide
6-Poison (Toxic) & Poison Inhalation Hazard
7-Radioactive
8-Corrosive
9-Misc.
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Services Request (Check all that apply) *

LTL (Less than Truckload)

FTL (Full Truckload)

Flatbed/Specialized

Ground Expedite

Class (If LTL Requested)

NMFC# (If LTL Requested)

Equipment Type (If Ground Expedite)

Cargo Van
Sprinter Van
Small Straight Truck (Dock High)
Large Straight Truck (Dock High)
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Dimensions: *

Pieces
L
W
H

Dimensions 2:

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W
H

Dimensions 3:

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L
W
H

Dimensions 4:

Pieces
L
W
H

Dimensions 5:

Pieces
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H

Dimensions 6:

Pieces
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W
H

Dimensions 7:

Pieces
L
W
H

Dimensions 8:

Pieces
L
W
H

Dimensions 9:

Pieces
L
W
H

Dimensions 10:

Pieces
L
W
H

How did you hear about us?

Referral
NKY Chamber of Commerce
Google
LinkedIn
Facebook
Instagram
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7964 Kentucky Dr.

Florence, KY 41042

[email protected]

(859) 372-2591

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