Rate Request Form "*" indicates required fields Shipper Name* Street Address* City* State* Postal Code Contact* Country*CountryUSACanadaBelgiumCzechDenmarkFinland/RussiaEstonia/LatviaFranceGermanyIrelandNetherlandsSwitzerlandNorwaySwedenUnited KingdomAustria – RORO OnlyItaly – RORO OnlyPoland – RORO OnlySpain – RORO OnlyPhone Number* Fax Number Email Address* TYPE OF CARGO* Type of Cargo Container RORO/Oversized Country of origin*Country of Origin(container)USACanadaBelgiumCzechDenmarkFinland/Russia/Estonia/LatviaFranceGermanyIrelandNetherlandsSwitzerlandNorwaySwedenUnited KingdomCountry of origin – ROROCountry of Origin (RORO)North AmericaContinental EuropeScandinaviaUnited KingdomAustria – RORO OnlyItaly – RORO OnlyPoland – RORO OnlySpain – RORO Only TYPE OF CARGO* Origin (including postal code if carrier haulage required) Port of Loading* Port of Discharge* Destination (Including postal code if carrier haulage required) COMMODITY DESCRIPTION* (Include hazardous or temperature information if applicable) EQUIPMENT REQUIREMENT* (Required for container cargo. Select multiple options by holding down Ctrl key)20' Standard20' Open Top20' S/O Tank40' High Cube40' Refrigerated40' Standard40' Open TopWeight (Required for RORO) Cargo Dimensions (Required for RORO) Width Height Volume to be shipped Expected Shipment Date COMMENTS Enter Comments