ALS: Quote Request Form

 
I. Pickup Date: Select the pick-up date for this shipment:

Please enter the time this shipment will be ready:

Please enter latest time the shipment can be picked up:
II. Address Information:
Shipper:
 		 Consignee:
 
Name:
Name:
Address:
Address:
City:
City:
State:
State:
Zip:
 -
Zip:
 -
Phone:
Phone:
 
III. About this Shipment: Who should Air, Land & Sea Express invoice for this shipment?

Billing Method:
Pre-Paid
Collect
Third Party

Please describe your shipment:

Total Pieces
Total Weight
Total Dimensional Weight
Declared Value/Insurance

 
Please provide dimensions, specific information regarding oversized pieces, commodity, and special information:

 
Please provide any special instructions:

 
Required Date of Delivery:
Required Time of Delivery:

If dates unknown, please advise type of service required:
Overnight
Two Day Express
Economy Deferred Service
Prior to 9:00 a.m. Delivery
International
Prior to 9:00 a.m. Delivery
Other
 
If you chose Other above, please elaborate :

 
Please describe the way your shipment is packed, ie number of
boxes, on skids, packing materials used etc.
IV. Contact Information:
Company Name:
Your Name:
Phone:
Fax:
Email:

 
What is the most convenient or your preferred method to
communicate with you for this quote?
Phone
Fax
Email
 
V. General Comments: