Logistics Consultation  Information Request Form

First Name∗:

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Last Name∗:

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Phone∗:

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Extension:

Email∗ :

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Company/Organization∗:

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Address∗:

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City∗:

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Province/State∗:
--Select-- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Arizona California Colorado Connecticut Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska New Hampshire New Jersey New Mexico New York Nevada North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

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Country∗:
--Select-- Canada United States of America

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Please select the role that most closely matches your position∗:
--Select-- Partner/Owner EVP/VP Director Sr. Manager/Manager Supervisor Sales Representative Account Manager Analyst/Coordinator Consultant Specialist Other

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Which department do you work in?∗:
--Select-- Logistics/Transportation/Distribution Purchasing/Procurement Accounting/Finance Engineering IT Sales/Marketing/Advertising Education/Development Government/Military

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Which industry do you work in?∗:
--Select-- Agricultural Automotive Chemicals and Plastics Consumer Packaged Goods Energy Engineering, Procurement, and Construction Management Food and Beverage Government Healthcare Infrastructure Machinery and Equipment Manufacturing Metal Mining Oil and Gas Petroleum Paper Retail/Wholesale Transportation/Logistics Solar/Wind Power

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Shipment Cycle:

How often?∗:
--Select-- Daily Weekly Monthly Yearly

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Number of deliveries?∗:
--Select-- 1 to 3 4 to 6 7 to 9 10 to 12 13 to 15 +16 and more

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Any transportation challenges or issues? Or additional comments or concerns?∗:

Which information of interest are you looking to inquire?:

FTL

Flatbed

Flatbed LTL

Intermodal

LTL

Outsource Solutions

House Hold Goods

Non-Conventional Hauling

Over Dimensional/Heavy Haul

Reverse Logistics

Special Handling

Warehousing

Order Fulfillment

Dedicated Space/Storage

Freight Management

Trans-border Services

Load Brokering

3PL

Other

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