Please specify type of quote request Ocean Air
Commodity
Hazardous Yes No
Special Handling Required Yes No If any of the above are checked yes please describe in the space provided below:
Origin City:
Destination:
Please select one of the following: Port to Door Port to Port Door to Door Door to Port
Packed in Crate Pallet Box Quantity
Dimensions: L x W x H Weight:
Specify All Water Mini Land Bridge
Specify Container LCL Size
Schedule B No./ HTSUS No.
Insurance Yes No Need Insurance Quote? Yes No
Letter of Credit Yes No
Contact Information Shipper Contact Name Address Line 1 Address Line 2 City Country Zip Phone E-mail
Allegheny Brokerage Company, Inc. 5389 C.V. Jackson Road, Suite 1 Dublin, VA 24084 solutions@acustomsbroker.com
