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Flatbed / Van / Reefer Rate Request
Associated Transport Consolidators, Inc.
* Indicates REQUIRED field
* Commodity Description
* Cargo weight in lbs
  If Hazardous, Class and
UN
*  Approximate Date of Shipment:
* Van / Container
*  Size
*  Origin
*  Destination
Please provide all additional information available so your rate is accurate:
*  Driver Load / Unload
*  Is cargo palletized?
* Tarps Required?
*  Pallet Exchange?
If Reefer load, Temperature required
*  Company Name
*  Street Address
*  City, State, Zip
*  Telephone Number
*  Fax Number
*  E-mail Address
YESNO
YESNO
YESNO
YESNO