* Indicates Required Field
*Company:
_____________________________________________________
*Name:
_____________________________________________________
Title:
_____________________________________________________
Address:
_____________________________________________________
City:
_____________________________________________________
State:
_____________________________________________________
Zip:
_____________________________________________________
*Phone:
_____________________________________________________
Fax:
_____________________________________________________

E-Mail:

_____________________________________________________
  C-J Transportation Services, Inc.
Fax:
1-561-575-5680
Phone:
1-800-257-8642
1-561-575-5464
Expected
ship date
Number of Shipments
Per Year
     
LTL
Full Truck
 
Commodity
*Weight
*Equipment Type
Packaging Type
Driver Handling:
yes no
*Protective Service:
yes no
*HazMat:
yes no
If yes, UN#
Palletized:
yes no
Skid Count:
Tarps:
yes no
Chains:
yes no
Binders:
yes no
Load Locks:
yes no
*Origin
     
City
State Zip
       
*Destination
     
City
State Zip
       
Stopoffs
     
City
State Zip
City
State Zip
City
State Zip
City
State Zip
Additional Comments:
  I need a Quote ASAP: 
 
Send Quote By:   Email   Phone   Fax   USPS
  * Indicates Required Field
 
 
 


Member Since 1982

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