Royalty Eximport - INLAND INFORMATION

This email address is being protected from spambots. You need JavaScript enabled to view it.

INLAND INFORMATION

Name of the company that sold the cargo*

Invalid Input

Address of pick up*

Invalid Input

City, State, Zip code*

Invalid Input

TAX ID of the shipper*

Invalid Input

Schedule B #*

Invalid Input

Pick up Hours*

Invalid Input

Contact person*

Invalid Input

Phone Number*

Invalid Input

E-Mail Address*

Invalid Input

Reference of the cargo for pick up*

Invalid Input

If cargo HAZARDOUS, Please attached Shippers Declaration of Dangerous goods or MSDS:

Invalid Input

Commodity (Type of Cargo):

Invalid Input

Weight of the cargo (lbs)

Invalid Input

Qty pcs of the cargo (Packaged Units) ex: pallets, crates

Invalid Input

Class / NMFC #:

Invalid Input

Dims of the Packaged Units (inches)

Invalid Input

Haz mat (dangerous goods)Y/N:

Invalid Input

Is the cargo stackable?:

Invalid Input

Is the cargo ready to be picked up?:

Invalid Input

Date of loading/pick up:*

Invalid Input

Special Instructions (If any):

Invalid Input