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GlobalTranz Vendor Shipment

Please enter data in all required fields below denoted with an asterisk (*).
Please ensure that the customer account number of the responsible GlobalTranz customer is accurate.

"*" indicates required fields

FREIGHT BOOKING REQUEST

Company Name*

Account Number*

Your Email*

Your Phone#*

ORIGIN

Origin Company Name*

Origin Address (line 1)*

Origin Address (line 2)

Origin City*

Origin State*

Origin Zip/Postal Code*

Origin Country*

Origin Contact Name*

Origin Contact Phone*

Origin Contact Email

DESTINATION

Destination Company Name*

Destination Address (line 1)*

Destination Address (line 2)

Destination City*

Dest. State*

Dest. Zip/Postal Code*

Dest. Country*

Destination Contact Name*

Destination Contact Phone

Destination Contact Email

SHIPMENT INFORMATION

Please note: Carriers require a two-hour span of time between ready and close times. Shipments scheduled for same-day pickup after 3 PM may be automatically pushed to the next business day.

Ready Date*

MM slash DD slash YYYY

Ready Time*

Hours

:

Minutes

AM/PM

Close Time*

Hours

:

Minutes

AM/PM

Do you need a guaranteed delivery date?

Yes

No

Date

MM slash DD slash YYYY

Time

Hours

:

Minutes

AM/PM

Does this shipment need insurance?*

Yes

No

Value of shipment*

Value of shipment

Condition of goods*

New Commercial Goods

Used, Rebuilt or Refurbished Goods

Is this shipment international?

Yes

No

Broker Company or Name

Broker Contact

Broker Phone

Broker Address

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Reference required at pickup?

Yes

No

Reference Numbers

Shipper Reference #

Consignee Reference #

Internal/Billing Reference #

Origin Services

Inside Pickup

Liftgate at Pickup

Limited Access Pickup

Non-Commercial Location

Protect from Freeze

Residential Pickup

Other

Destination Services

Appointment

Inside Delivery

Liftgate at Delivery

Limited Access Delivery

Notification Delivery

Protect from Freeze

Residential Delivery

Other

Other Origin Service

Other Destination Service

Notes/Additional References

HANDLING UNIT / ITEM DETAILS

Handling Units

# of Units*

Type*

Stackable*

Unit Length*

Unit Width*

Unit Height*

Items

Piece Count

Piece Type

Total Weight*

Class*

NMFC

Hazmat?*

Proper Shipping Name

UN

PKG

Hazmat Class

Contact Name/Phone

Commodity Description*

Maximum of 20 Items

Maximum of 20 Handling Units

Δ

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