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CHICKASAW CONTAINER SERVICES INC.

Rate Request Form

* Indicates REQUIRED field

Company Name:
Street Address:
City, State, Zip:
Telephone #:
Fax #:
Full Name:
E-mail Address:
Ship Date:
# of Loads:
Import/Export Shipment: Import  Export
Steamship Line:  
Size Container:  20 40 45 Other    
Type of Container:  Standard Highcube Opentop Refrigerated  
Cargo Weight in lbs.:  
Triaxle Chassis Required:  No  Yes
Point of Origin:  
Destination:
Trip Type: Round trip  One way
Live Load/Unload: Live Load Live Unload Drop/Pick
Hours to load/unload:
Commodity Description:
Hazardous Load: No   Yes
Provide Class and UN # for Hazardous  Cargo:
Over Dimensional Cargo: No   Yes

Please give dimensions and a brief description of over dimensional cargo:

ADDITIONAL COMMENTS:

Provide as much information as possible and appropriate on the request form and click submit to send.

Submissions are not retractable once you click "Submit".   

Nothing is sent until you do click the Submit button.

Click "Reset" to clear the form.

Sending a request from this form does not guarantee transmission to the intended recipient. 

Factors beyond the control of the recipient, such as a server or network outage, can delay or prevent delivery of a request.

Please follow-up via e-mail or telephone should a request go unanswered for an extended amount of time.