Golds Choice Transportation Services Request

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Quote Number
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Name
First Name
Last Name
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Company Name
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Contact Number
Please enter a valid phone number.
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Email
example@example.com
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Service Type
Please Select
Please Select
Truck Freight : TF
Reefer Load : RL
Heavy Haul/Oversized/Permit Load: OSL
Same Day Delivery : SD
Hot-Shot Delivery :HS
Car Delivery : CD
Construction Equipment
Farm Equipment
Generators Delivery
Soy Bean Delivery
Solar Panel Delivery
Project Moving : TCorpMov
Moving Movint : OffFurn
On Demand Truck ODT
Lift-gate Lift Gate
On Demand Van VOD
Truck On Demand: TOD
Interstate NJ V IS NJ Van
Interstate NJ T IS NJ Truck
Expedited Service ES
Over the Road OTR
Overnight ON
Second Day SD
Deferred Def
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Pick Up Date & Time
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Day
Year
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Hour
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Minutes
PM
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PM
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Delivery Date & Time
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Day
Year
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Hour
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Collection Point
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Delivery Point
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SizePlease provide exact overall dimensions of the items/s to be transported.
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WeightPlease provide a weight for the item/s and indicate below if it is and estimate or exact weight.
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DimensionPlease provide exact overall dimensions of the items/s to be transported.
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Is it Exact?
Estimated weight
Exact weight
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Content Description & Notes
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Rate Per Piece or PoundPlease provide exact overall dimensions of the items/s to be transported.
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InsurancePlease provide exact overall dimensions of the items/s to be transported.
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Fuel SurchargePlease provide exact overall dimensions of the items/s to be transported.
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TollsPlease provide exact overall dimensions of the items/s to be transported.
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TotalPlease provide exact overall dimensions of the items/s to be transported.
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The quote herein stated is good for a period of _________, the exception being any act over which we do not have any control, is publicly known, and creates an additional cost to do business. In addition, the quote stated here is for the exact information as given, any change in the contents, delivery time, or any other matter may change the rate. After the express period of time detailed herein, the rates may change in any direction depending on the cost of business at the time. All shipments will be packaged. Our company cannot be held accountable for internal damages due to improper packaging.
Should be Empty: