REQUEST FREE ESTIMATE

Please provide the following information.

Date:*
Date Format: MM slash DD slash YYYY
Company:*
Pickup Date:*
Date Format: MM slash DD slash YYYY
Delivery Date:*
Date Format: MM slash DD slash YYYY
Freight Paid By:*
Phone #**
Contact Person:
Email*
PICK UP AT:
Company*
Address:*
Street Address City State / Province / Region ZIP / Postal Code
Contact Name and Phone #:*
DELIVER TO:
Company:*
Address:*
Street Address City State / Province / Region ZIP / Postal Code
Contact Name and Phone #:*
Quantity*
DESCRIPTION*
- Crates
- Slabs
DIMENSIONS/WEIGHT*
STONE TYPE:*
NOTES:
WAIVER SIGNED:*
If freight is refused for any reason that is not the fault of Xpress Logistic. eg., color, size, imperfections, the customer will still be obligated to make full payment for the freight. if additional service is required, i.e., returning the freight to the original vendor, the customer will, in most cases, incur additional charges. By signing this document you are acknowledging that you understand the aforementioned terms of this agreement.
Phone
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