FreightRequest - PLOVGH

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Freight Request
for local, regional, and national shipments

* Indicates required field

SHIPPER: Farm or Business name *

SHIPPER: Contact Name *

First

Last

Email *

Phone number *

RECEIVER: Farm or Business Name *

RECEIVER: Contact Name (if available) *

First

Last

Email *

Phone Number *

Shipping address *

Line 1

Line 2

City

State

Zip Code

Country

Pickup days + times *

Special instructions *

Receiving address *

Line 1

Line 2

City

State

Zip Code

Country

Delivery days + times *

Special instructions *

Date shipment is ready for pickup *

Is this shipment palletized? *

If palletized, how many pallets? *

Weight of shipment *

Dimensions of shipment (l x w x h) *

Weight is in *

Dimensions are in *

Weight is *

Dimensions are *

What is being shipped? *

Temperature requirements (if any) *

Additional information: *

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