Domestic Parcel Quote Request
Sign in to Google to save your progress. Learn more
your email *
where you want us to send the quote
cellphone *
phone number we can call to confirm that you receive our email response
name of shipper
origin address *
street, unit number, city, state and postal code.  If you are going to drop the parcel off or don't know the pickup address or zipcode, then please at a minimum, enter the city and state of origin.
zip code *
origin address description *
destination address *
street, unit number, city, state and postal code.  If you are going to pick up the parcel from a terminal or don't know the pickup address or zipcode, then please at a minimum, enter the city and state of origin.
zip code *
destination address description *
weight (lbs) and dimensions (inches) of each parcel *
please provide an estimate of the total lbs and cubic feet, or list each piece in the following format:  lbs - length.width.height; Example: "10 - 12.12.12; 25 - 16.16.16;" etc.;
dangerous goods - hazmat *
commodity *
please describe the goods that are being shipped, such as:  documents, excess baggage, food, electronics, etc
declared value for insurance purposes
enter a value if you would like to have the cost of insurance added to the rate
signature required *
do you require a signature at delivery
shipping date
the date you plan to ship the goods
MM
/
DD
/
YYYY
required transit time *
please indicate if you require a delivery time (note that transit times consider only business days, not weekends or holidays)
misc
any other information you think is relevant to your shipment or questions you may have for us.
Notice and Authorization - please enter your initials *
For the safety of all persons and property, I acknowledge the right of all carriers to inspect, search and refuse any cargo.  If I tender any cargo to or through any carrier, its agents, partners, carriers or assignees, I authorize same to act on my behalf for the filing of any documents required for the legal import or export of my goods.  I acknowledge that this is a good faith estimate but that final rates and charges are determined upon tendering of the shipment and that the waybill or bill of lading issued at the time of pickup and/final auditing of the chargeable weight and characteristics of the goods will govern the contract for transportation and related services.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report