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Company Information Company Name: Contact Name: Business Phone: Business Fax: Email Address: Commodity Information Commodity: Weight: Dimensions: Pallette exchange: Yes No Tarp needed: Yes No Driver load and unload: Yes No Is product on pallets: Yes No If yes, please specify pallet count: Select.. 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 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 Is the product a hazardous material: Yes No Truck Load or LTL: Declared value of load(dollar amount): Equipment Needed Van Reefer Flatbed Specialty : Shipper Information City: Province/State: Zip: Phone Number: Consignee Information City: Province/State: Zip: Phone Number: Special Instructions. http://www.highland-trucking.com/