Shipper's Letter of Instruction
Shipper's Name*:
Email Address*:
Address:
City:
State:
Zip:
EIN:
Method of Transit:
If Ocean:
Transit Terms:
Inco Terms:
Load Date:
Load Time:
Pick-up Address:
Pick-up City:
Pick-up State:
Pick-up Zip:
Telephone Number*:
Closing Time:
Description of Goods:
Number of Pieces:
DIM:
Weight:
Schedule B:
Consignee:
Consignee Address:
CTC Name:
CTC Phone Number:
CTC Fax Number:

Hazmat:

If Hazmat is yes, describe:
Insurance:
If Insurance is yes, Value:
License No/Symbol:
Special Instructions: