RATES REQUEST FORM   
               

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Applicants Name:

    		  

    Company name:

    		  

    Address:

    		  

    Suite/Unit:

    		  

    City:

    		  

    Postal Code:

    		  

    Phone:

    		  

    Facsimile

    		  

    Email Address

    		  

    Role at Company

    		  

    Applicants Mailing Address If Different than above

    Mailing Address:

    		  

    Suite/Unit:

    		  

    City:

    		  

    Postal Code:

    		  

    How many daily shipments does your company currently process?
     

    Door to Door
    (55 Minutes)
     

    		  

    /Day  /Week /Month

    Direct
    (1.5 Hours)
     

    		  

    /Day  /Week /Month

    Rush
    (3 Hours)
     

    		  

    /Day  /Week /Month

    Sameday
    (Order by 1PM,
    Delivery by 5:30PM)
     

    		  

    /Day  /Week /Month

    Overnight
    (Order by 5:30PM,
    Next day delivery by 5:30PM)
     

    		  

    /Day  /Week /Month