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Did you know...? Our online Bill of Lading has a built in Pickup Request feature! All of the benefits of online filling and pickup requests in one convenient page and you can save $2!


Requester:

Shippers are responsible for proper packaging, markings and labeling of freight. Shippers must follow all existing NMFC packaging requirements related to their product.
Requester Company Information
Company Name:
Address:
 
State/Country/Zip:  
City:
 
Requester Contact Information
Requester Name:
Phone:
( )   -  Ext:
Fax:
( )   -
Email:  
If we need to contact a person regarding this pickup, are you that person? If YES, check the box:

If no, you need to provide with one in the next section.

Pickup Information
BOL #:
Reference #:
Pickup Date:  
Ready Time:*  
Dock Close Time:*  
*Shipper's Local Time
Name:
Company:
Phone:
( )   -  Ext:
Shipper Information
Name:
Address:
 
 State/Country/Zip:  
City:
Consignee Information
Name:
Address:
 
State/Country/Zip:  
City:
Shipping Characteristics
Total Pallets:    
Total Pieces:    
Total Weight:  
Linear Feet of Floor Space:  
Hazardous Materials:
Special Instructions:
(max 250 characters)

*If you have provided an email address, we will automatically email you a copy of this Pickup Request.
Central Transport 100 or 101 "Series" Rules Tariff applies.

  




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10/21/2018 - 9:37 PM
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10/21/2018 - 9:37 PM
10/21/2018 - 9:37 PM