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?

    Express

    		  

    /Day  /Week /Month

    2 HR

    		 

    /Day  /Week /Month

    4 HR

    		  

    /Day  /Week /Month

    Sameday

    		  

    /Day  /Week /Month

    Overnight

    		  

    /Day  /Week /Month