Shippers Information:

 Shipping From: (company or individual name)       Area code & phone number

            Ext.

 Address:                            Bldg./Ste.   City:                                              Zip Code

 Shippers E-mail address for confirmation: 

 Consignee's Information:

Delivering To:                                                                Area code & phone number

                Ext.

 Address:                           Bldg./Ste.   City:                                              Zip Code

Contact:

Shipment Information:

 Quantity:  Piece(s) Pallet(s)                     Total weight of shipment:  Lb(s)

 Dimensions: (inches)  x  x  (Largest piece or pallet)

Pick up time requesting:            

  :  PM AM

 Please mark type of delivery:

Shuttle Freight 4 Hour Service

Shuttle Freight 6 Hour Service

Expedite Delivery (Next available Driver)

Same Day Delivery (2-4 hour service)

Same Day Delivery (4 hour - Out of shuttle area)

Over Night (Standard)

 *   For Dedicated Services please call for scheduling

Description of item (s) being shipped:         

Payment Information:

Pre-Paid  (customer pays) Collect (consignee pays) 

Third Party Billing   (bill to third party)

Please enter additional comments or suggestions below.

*An Expedite Express representative will contact you within 20 minutes of an E-Spatch™ via E-mail or telephone to confirm your pick up.

Please note that you will still need to fill out an Expedite Express waybill for your shipment.