Customer #:
Origin Zip:
Destination Zip:

Customer Type:

  Payment Method:
Shipper Consignee Bill to   Prepaid Collect
Class Weight Feet Skids
Please check any of the following charges that will apply:
Notification Charge Hazardous Material Freezable Residential Delivery
Sort and/or Segregating Inside Delivery COD Amount   
Construction Site Delivery Individual Item Over 12 Ft.