CTL CUSTOMER SHIPMENT REQUEST

Welcome to CorTrans Logistics, LLC

CTL CUSTOMER SHIPMENT REQUEST

PICK UP FROM:
Shipper Reference:
Name:
Address 1:
Address 2:
City:
State/Province:
Zip:
Contact Name:
Bill To:

SHIP TO:
Consignee Reference:
Name:
Address 1:
Address 2:
City:
State/Province
Zip:
Phone:
Contact Name:

SHIPMENT INFO:

SHIPMENT READY:
Date:
Time:
No. of Pieces
Description:
TOTAL WEIGHT:

PACKAGING:

CARTONS:	LENGTH:		WIDTH:		HEIGHT:

SERVICE REQUESTED:

SPECIAL INSTRUCTIONS:

YOUR INFORMATION:

Person Placing Order:
Phone:
Email:

The CorTrans Airbill Number will be confirmed by return email.
Shipments can be tracked through the CorTrack link on our Home Page