LTL Freight Shipping Request Form
Company Name
Contact Name
Email
Phone
Pickup Address
Pickup City
Pickup State/Province
Pickup Postal Code
Delivery Address
Delivery City
Delivery State/Province
Delivery Postal Code
Ready for Pickup Date
Requested Delivery Date
Freight Description
Total Weight (lbs or kg)
Freight Class
Number of Packages / Pallets
Dimensions (L x W x H per unit)
Special Requirements or Instructions