Sample Packing List

	A	C	E	F	G	I	J	K	M	O	P	R	S	U	X	Z	AA	AB	AC	AD	AF	AG
1
2	Q#:	enter QTE# here					BOOKING REQUEST									BKG #:		enter booking #, BOL# or AWB#
3	By:	select					BOOKING REQUEST									Origin:
4	Type:	Type of Shipment														Dest:
5
6	Origin Shipper, Address and Contacts											Destination Recipient, Address and Contacts
7	. . . Attn: name of person or department releasing freight											. . . Attn: name of person or department receiving freight
8	. . . Business Entity or Complete Name if Individual Shipper											. . . Business Entity or Complete Name if Individual Recipien
9	. . . Complete Street Address and Unit #											. . . Complete Street Address and Unit #
10	. . . City							select US state or Canadian province. . .	Zipcode. . .		select country. . .	. . . City						select US state or Canadian province. . .		Zipcode. . .		select country. . .
11	. . . Cellphone or Ph#				ph #2 if applicable				fax if applicable			. . . Cellphone or Ph#			ph #2 if applicable					fax if applicable
12	. . . Email Address											. . . Email Address
13	select service address type											. . .destinatiion address type
14	www.transport-agent.com/terms-and-conditions
15	www.transport-agent.com/terms-and-conditions
16	Please confirm review of Notices & Disclosures. A booking request or tendering of cargo shall constitutes formal acknowledgement of Notices & Disclosures, along with all Terms & Conditions of Transport												Chargeable Weight Notice						Prohibited Cargo
17													Description of Cargo						Search & Inspection
18													Disclosure & Authorizations
19
20	No. of Pieces	Lbs per Piece	Length / inches		Width / inches	Height / inches		Total Lbs	Total CFT	Package Type		Description of Contents of Pieces (must disclose hazmat if applicable)									Value per line
21									0.0	55 gal.		description is required									value is required
22								0	0.0	select
23								0	0.0	select
24								0	0.0	select
25								0	0.0	select
26								0	0.0	select
27								0	0.0	select
28								0	0.0	select
29								0	0.0	select
30								0	0.0	select
31	Piece Count	Total Weight Kilograms		Total Cubic Meters CBM		Total Actual Weight lbs			Total Cubic Ft	Dimensional Weight Lbs		Dimensional Weight Kgs		Chargeable Weight Lbs	Chargeable Weight Kgs		Total Value USD:				$0.00
32	0	0.0		0.00		0.0			0.0	0.0		0		0	0		CHARGEABLE WEIGHT NOTICE
33
34	Likely date of shipment					2021-05-14
35
36	Likely time of			drop-off @ terminal					11:00 AM
37
38
39	enter QTE# here											Signature of Shipper
40
41												__________________________________________________
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43
44
45	TRANSPORT AGENT - 317 S. Division #159 - Ann Arbor, MI 48104 - USA
46	QTE@transport-agent.com - ph: 800.290.4520 - fx: 800.290.4570