Shipment / Quote form – Logical Logistics Solutions

Name *

First

Last

Business / Organization *

Email *

Phone *

Shipper Information

Company Name *

Contact Email *

Shipper Phone *

Pickup Address *

Address Line 1

Address Line 2

City

State

Zip Code

Pickup Contact Name *

First

Last

Pickup Contact Phone *

Consignee Info

Consignee Company Name *

Consignee Phone *

Consignee Address *

Address Line 1

Address Line 2

City

State

Zip Code

Consignee Contact Name *

First

Last

Delivery Info

Pickup Date / Time *

Date

Time

Delivery Date

Date

Time

Pickup#/Load#

PO#

Container#

Liftgate Required?

Yes
No

Time Critical?

Yes
No

Inside Delivery?

Yes
No

Tradeshow Pickup/Delivery?

Yes
No

Residential Delivery?

Yes
No

Notify Consignee?

Yes
No

Description of Items

# of Pieces | Package type | Description | Length x Width x Height | Weight