Retail Logistics Canada

RETAIL LOGISTICS CANADA QUOTE REQUEST FORM
Customer Contact Information

Name*
Email Adress*
Company Name*
Title
City		Province/State	Country
Postal Code / Zip
Phone*		Ext.
Fax

Shipment Information

Commodity

Packaging

For Shipments Originating
in the United States:

NMFC #

Class

Quantity:

Dimensions:

Lenght : x Width : x Height :

Type:

or Total Linear Feet of Trailer

Total Weight:

Stackable merchandise:

Yes	No

Hazerdous Materials :

Yes	No

Temperature Control

Yes

No

Pickup Information

Shipment Date:

Appointment Time:

Yes	No

If Yes:

Shipment Origin:

City:

Province/State

Code Postal/Zip:

Special Requirements:

Shopping Centre / Mall
Jobsite/Construction site
Tailgate
Additional Labourer(s)

Loading Requirements:

Additional Special Requirements:

Delivery information:

Delivery Date:

Appointment Time:

Yes	No

If Yes:

Shipment Destination:

City:

Province/State

Code Postal/Zip

Special Requirements:

Shopping Centre / Mall
Jobsite/Construction site
Tailgate
Additional Labourer(s)

Loading Requirements:

Additional Special Requirements:

Retail Logistics Canada Value Added Services

Retail Specific Event:

Retail Centre Delivery / Pickup Hours:

Within Regular Mall Hours
Before Mall Opens
After Mall Closes

Special Equipment Requirements:

Straight Body truck
Dollies / Pallet Jack
Packaging Materials

Value Added Services:

In Store Unpack
In Store Repack
Installations
Debris Removal

FOR MORE INFORMATION, PLEASE CALL
1 888 RLC 5515