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Breakbulk Single Truck Load Pickup or Delivery Request
Use this form to submit a request for pickup or delivery of breakbulk
single truck loads only
. If a dual transaction is required, please submit a separate form per request. If any static piece weighs over 25 metrics tons, this form is required to be submitted at least 2 business days in advance. For answers to FAQs, please visit this
link
.
Your First Name
*
*
Your Last Name
*
*
Email Address
*
*
*
Phone Number
*
*
Truck Company
*
*
Truck #
*
Pickup or Delivery
*
Pickup or Delivery
Pickup
Pickup or Delivery
Delivery
Bill of Lading #
*
Booking #
*
ETA for Pickup/Delivery
*
*
No. of Pieces
*
*
*
Does the cargo include self-propelled units?
Does the cargo require lifting?
Does any static piece weigh over 25 metric tons?
Vessel Name
*
*
Additional Notes
*
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