MDS Rate Request

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Thank you for rate inquiry. We will contact you shortly with a rate. If you have any questions please call 815-463-5070.

Facility Name

City/Town:

State:

City/Town:

State:

ZIP:

Facility Name

City/Town:

State:

Import

Export

Hazardous Material

Hazardous Material Description

Weight (lbs)

Freight Description

Container Size and Type

Steamship Line

Company:

Address:

Address 2:

City/Town:

State:

ZIP:

Name:

Email Address:

Phone Number: