JOB REQUEST FORM

If you have any questions, or need immediate assistance please call 718-995-0425. Thank You.
Name:
Company:
Address:
City, State, Zip:
E-Mail Address:
Phone Number:
Fax Number:

FREIGHT INFORMATION
• Origin  
Company
Address:
City, State, Zip:
Phone Number:
• Destination
Company
Address:
City, State, Zip:
Phone Number:
Commodity:
Hazardous Material: Yes No
Driver Assist Load or Unload: Yes No
Declared Value:
SERVICE

Please check all that apply:
Inside Delivery Mall Delivery Residence Convention Center
Dunnage Removal Liftgate Required Uncrate Or Unpack Blankets
Straps Rollerbed Two Men Three Men Four Men C.O.D.
F.C.C.O.D Saturday Delivery Sunday Delivery Appointment Required
Weight: Lbs Kilos
# of Pallets (if available)
Standard Pallets: Yes No*
*If "No" Please Specify:  
Length:
Width:
Height:
# of Pieces:
Equipment Type:
LTL Class: (If available)

Other Comments, Instructions, and Equipment Type Specifications:


We will be in contact with you promptly.
If you have any questions, or need immediate assistance please call 718-995-0425

"Prompt pick-up, Competitive rates, On-time delivery."

CMS TRANSPORTATION INC.
New York Office:
203 Sheridan Blvd., Inwood, NY 11096
Phone: 516-239-2155 • Fax: 516-239-2156

California Office:
363 West Victoria St., Gardena, CA 90248
Phone 310-527-6987 • Fax: 310-329-8841
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