TERMSNET 21 DAYS

Please note that you can complete this form and submit online or you can print and fax it to us at (416)754-1161, or toll free (888)823-5770.

 

SHIPPER INFORMATION
Company:   
Street Address:
City:
Province/State:
Postal/Zip Code:
Contact:
Telephone: () -  Ext.
Fax: () -
P.O. #:
Pick up appointment required? Yes              No
If Yes, please specify the date and time:
Date & Time Ready:
Dock level shipping with towmotor/pallet trucks? Yes               No
Shipping Hours:

 

SHIPMENT DETAILS
Commodity:
Number of Skids/Pieces:
Total Weight:  
Dimensions/Space Occupied:
Equipment Required if other than 48' Dry Van:
Value If Exceeds $2/LB:    $
Custom Broker:
Bonded Freight? Yes                   No
Hazardous? Yes                   No
Stackable? Yes                   No

 

CONSIGNEE INFORMATION

Company:   
Street Address:
City:
Province/State:
Postal/Zip Code:
Contact:
Telephone: () -  Ext.
Fax: () -
Delivery Date Requested:
Delivery appointment required? Yes                No
If Yes, please specify the date and time:
Dock level receiving with towmotor/pallet trucks? Yes                No
Receiving Hours:

 

WHO DO WE INVOICE?

  Shipper
 
Consignee
 
Third Party as indicated below

Company:
Contact:
Address:
City:
Province/State:
Postal/Zip Code:
Telephone: () -   Ext.
Fax: () -

 

Additional questions or details relevant to shipment
(Residential? Driver Assistance? Team Drivers? etc.)

 

Company Submitting Pickup:
Submitted by:
Date Submitted:

If you have any questions or feedback, please send us an E-mail at cfs@cusfs.com.
Copyright 2000 Custom Freight Solutions Inc.