*Bill to Name:
*Contact Name:
*Contact Phone:
*Contact Email:
Oak Harbor Logistics Specialist:
*Ship Date:
Shipper Name:
Address Line 1:
Address Line 2:
*City:
*State:
*Zip:
Note: For Canadian Postal code, enter the first 3 characters only
*Delivery Date:
Consignee Name:
Address Line 1:
Address Line 2:
*City:
*State:
*Zip:
Note: For Canadian Postal code, enter the first 3 characters only
*Expedited? (Y/N)
*Commodity Description:
*Hazmat? (Y/N)
*# pallets/ft of space:
*Weight:
*Equipment Type:
Additional Notes