U.S. National Logistics Group LLC
Name: * Company Name: * Phone Number: * Email Address: * Address: *
Pickup Location: * Delivery Location: * Pickup Date & Time: * Delivery Date & Time: * Type of Freight: * Description of Goods: * Number of Pieces/Pallets/Containers: * Dimensions (L x W x H per item): * Total Weight: *
Type of Truck/Trailer Needed (e.g., Dry Van, Reefer, Flatbed, Tanker): * Special Handling Requirements (e.g., Liftgate, Inside Delivery, Temperature Control): * Load Type: * FTLLTL Insurance Requirements: *
Freight Packing & CratingWarehousing & StorageExpedited ShippingCustoms Clearance
Quote Amount (if provided): * Payment Terms (Prepaid, Net 30, etc.): * Preferred Payment Method: *
Special Instructions: * Terms & Conditions Agreement:I Agree
Signature: *