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Section 1: Contact Information

First & Last Name * Company Name * Email * Phone *

Section 2: Shipment Details

Origin Zip Code * Destination Zip Code * Mode Details of Shipment Commodity Any temperature requirements?

Hazmat

Yes No

If yes, provide class / UN number

If yes, is SDS required?

Yes No

Anticipated Start Date Timeframe for Project Volume of Inbound container(s) per month? What size are the container(s) & weight per container?

Will container(s) be "floor loaded" or "palletized"?

Floor Loaded Palletized

What is the weight per pallet? "# of cartons" or "# of pallets" per container?

Stackability?

Yes No

If yes, height limit?

Section 3: Additional Information

Temperature Requirements

Is sort & segregation required?

Yes No

If yes, how many skus? If yes, how many destinations?

What is the anticipated dwell time for cargo in warehouse?

Is a storage footprint in warehouse required?

Yes No

Yard Storage required?

Yes No

If yes, anticipated amount of spots?

What equipment will be used for outbound transportation?

Will the transload be 1:1? (outbound)

Yes No

Are any value added services required?

Yes No

If yes, please describe in detail?

Will drayage be required?

Yes No

Will weekends be required?

Yes No

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1 Kellaway Drive

Randolph, MA 02368

855-4ROADONE