Server: Microsoft-IIS/4.0 Beta 3 Date: Thu, 20 Nov 1997 15:58:08 GMT Content-Type: text/html Accept-Ranges: bytes Last-Modified: Tue, 25 Jun 1996 03:54:20 GMT ETag: "03e6fd4962bb1:1678" Content-Length: 3409 Rate Request Form: Hub Group -Pittsburgh
RATE REQUEST FORM

The Hub Group -Pittsburgh will be pleased to provide you with a rate quotation. Please fill out as much information on this form as possible, and we will phone you with additional questions and/or our rate quotation.

Your Name (required):
Telephone Number (required):
Company Name:

Fax:

ORIGIN of shipment:

City:
State: Zip:

DESTINATION of shipment

City:
State: Zip:

Equipment Type:
    Van
    Container
    Flatbed
    Reefer
    Other

Equipment Size (Please refer to chart below):
    20'
    40'
    45'
    48'
    53'

Approximate weight of shipment:

Hazardous:

    Yes No

Commodity Description

Driver Load (extra charge item):
    Yes
    No
Driver Unload (extra charge item):
    Yes
    No

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