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Have you shipped with us before? Yes No

Your Name

Company

Auction Name

Buyer Number

Lot Number

E-mail Address

Phone Number

Fax Number

Origin

Company

Address

City, State, Postal Code

Country

Dock Yes No

18 Wheeler Accessible? Yes No

Destination

Company

Address

City, State, Postal Code

Country

Dock Yes No

18 Wheeler Accessible? Yes No

Equipment

	Pieces	Description	Weight	Dimensions (LxWxH)
1				x x
2				x x
3				x x
4				x x
5				x x
6				x x
7				x x
8				x x
9				x x
10				x x
11				x x
12				x x

If exact weight and dimensions ares not available, please submit your best estimate and we'll base our rates accordingly. You will be billed based on the actual weight and dimensions.

Service Required

Do you require Packing & Crating?Yes No

Declared Value (Coverage)

Available for Pick up on

Must Deliver by

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