Unishippers Freight Pick Up Request (CC)

What Unishippers customer is being billed for this shipment?
* 🛈

Do you have an existing quote # to reference? *

Yes

No

Unknown

What is your quote # (Begins with 2-4 letters - BNW, NH, OH, ME etc) *

Shipper/Pick Up Information

Shipper Company Name *

Country *

Shipper Street Address *

Suite or Bldg #

Shipper City *

State *

Province *

Postal Code * 🛈

Shipper Contact Person *

Shipper Phone *

Any Extra Services Needed For Pickup? *

Special Instructions For Pick Up (not required) 🛈

Receiver Information

Receiver Company Name *

Country *

Receiver Street Address (1) *

Suite or Bldg #

Receiver City *

State *

Province *

Postal Code *

Receiver Contact name/dept

Receiver Phone *

Any Extra Services Needed For Delivery? *

Special Instructions For Delivery (not required) 🛈

Shipment Details

Do all your pallets have the same dimensions and freight class/description? *

Yes

No

Quantity *

Packaging * 🛈

Total Weight * 🛈

Length *

Width *

Height *

Freight Class * 🛈

Description Of Product * 🛈

Box Count (not required) 🛈

Weight/Pallet

0.00

Cubic Feet

0.00

Density

0.00

Once info above (quantity, weight, dims) entered, please click on the 3 "Calculate" buttons above so you can submit the weight/pallet, cubic footage and density to our freight team. If you update any of the info above, please re-calculate.

Did you click on the 3 "Calculate" buttons above (weight/pallet, cubic footage, density) *

I Sure did!

Enter Individual Pallet Specifications (Weight, Dims, Description Required)

	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #1	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #2	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #3	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #4	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #5	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #6	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #7	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #8	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #9	Weight	Dimensions	Description	Freight Class	Box Count
Pallet #10	Weight	Dimensions	Description	Freight Class	Box Count

Stackable? *

Stackable

Non-Stackable

Any Haz-Mat? * 🛈

Yes

No

Guaranteed Delivery? *

Yes

No

Insurance Needed? *

Yes

No

What date does this need to be delivered by? +

Value for insurance? *

New or Used? *

New

Used

PO Number (s) (not required) 🛈

Sales Order # (not required) 🛈

Pick Up Reference (not required) 🛈

Notes (not required) 🛈

Pick Up Date/Time

Pick Up Date * 🛈 +

Shipment Ready * 🛈

Shipper Close * 🛈

* Must give driver at least 3 hour pick up window.

* Pick ups scheduled after 3pm may be moved to next business day.

Email address(s) for us to send completed BOL & pallet labels: * 🛈

Anything Else We Need To Know? (not required)

Lift Gate	Inside Pickup
Non-Commercial/Residential	Straight Truck
Protect From Freeze	None
Other Other

Lift Gate	Non-Commercial/Residential
Appointment Delivery	Straight Truck
Inside Delivery	None
Other Other