Unishippers Freight Pickup Request
What Unishippers customer is being billed for this shipment?
*
Customer Name or Account Number
Shippers Info
Enter the details for the pickup here
Do you have an existing quote number to reference?
Yes
No
Not Sure
If yes, what is the quote number?
Shipper Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pick Up Date
*
-
Month
-
Day
Year
Date
Shipment Ready
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Shipper Close
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Shipper Contact Person
*
Shipper Phone Number
Special Instructions For Pick Up (not required)
Liftgate, appointment, reference #, ect
Consignee Info
Enter the details for the delivery here
Receiver Company Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Receiver Contact Person
*
Phone Number
Special Instructions For Delivery (not required)
Liftgate, appointment, reference #, ect
What are we shipping?
Enter the details for the freight here
Quantity
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Packaging
*
Pallet/Skids
Cartons
Crates
Rolls
Boxes
Bundles
Other
Freight Class
*
Unknown
50
55
60
65
70
77.5
85
92.5
100
110
125
150
175
200
250
300
400
500
Dimensions
*
Length X Width X Height
Total Weight in LBS
*
Including Packaging
Stackable?
*
YES
NO
Description Of Product
*
If your shipment is time-sensitive, what is the anticipated delivery date?
-
Month
-
Day
Year
Date
Value of Shipment
Only if Additional Insurance is Needed
PO Number
Sales Order Number
Pick Up Reference
Email address(s) for us to send completed BOL & Pallet Labels:
*
Anything Else We Need To Know? (not required)
Submit
Should be Empty:
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