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General Information
 
Contact:     
Phone:     
Email:      
Third Party Billing:      YesNo
 
Customer Information
 
Company Name:     
Customs Broker:     
 
Origin Information
 
Company Name:     
Address:     
City:     
Province/State:     
Postal / Zip Code:     
Contact (shippers) Name:     
Phone:        ext. 
Hours of Operation:       to 
Shipping Date:     
 
Shipping Information
 
Quantity & Type:     
  if "other", please define: 
Equipment:      VanDeckLTL
HAZ/MAT:      YesNo
  if "Yes", define PIN: 
Do you require heat:      YesNo
Dimensions ( L x W x H ):     
x x
Weight:     
P.O Number:     
Comments:     
 
Destination Information
 
Company Name:     
Address:     
City:     
Province/State:     
Postal / Zip Code:     
Contact Name:     
Phone:        ext. 
Hours of Operation:       to 
 




    Head Office:
    14520 Parkside Drive S.E.
    Calgary, Alberta
    Canada T2J 4J8
    Phone: (403) 271-7616
    Fax: (403) 271-7600
    Toll Free 1-888-868-0006



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