CHAMPION LOGISTICS GROUP, INC.

WORLDWIDE TRANSPORTATION SOLUTIONS


RATE QUOTE FORM

Name:     Date:

Order #  Phone #


Origin Pickup Location

Name    

Address:  

Phone:      Hours:


Destination Deliver Location

Name    

Address:  

Phone:      Hours:


Commodity: Class:

Hazmat?  Yes    No


Type and Size of Equipment Required:


Weight:    Skids:

:        


Special Instructions:  


Freight Charges Billed to:                    

                              

                  

 


Copyright 2001[Champion Logistics Group, Inc]. All rights reserved.
Revised: February 11, 2002