CONTACT

Name: Full Name

Email: Email Address

Company: Company Name

Work Address: Address

City: City

State: State

Zip code: Zip

Work Phone: Work Phone

Cell Phone: Mobile Number

Type of Commodity/Description

Type of Cargo:

Container

Breakbulk

Bulk

Other

Is Cargo Hazardous:

Yes

No

Amount of Cargo: 1)Number of Containers 2) Weight/Short-tons if Breakbulk/Bulk Cargo:

Please select which best describes your needs:

Import to Savannah

Export from Savannah

US Interstate Cargo

Origin of Cargo (City/State or Country/Port):

Date of Departure of Cargo:

Destination of Cargo (City/State or Country/Port):

Date of Scheduled Delivery: 01/01/2017

Type of Services Required:

Warehouse

Trucking

CSX Rail

Explain Services Required:

Is Packing/Crating Desired, if Yes, please explain:

Is Stuffing/Stripping Desired, if Yes, please explain:

Are you currently working with a Broker/Forwarder and/or Shipping Line, if Yes, Please Advise:

Please provide any additional information that may be of assistance: