Shipper Application
If this is for an oversized or overweight shipment please include exact dimensions otherwise it is considered a legal shipment. Length X Width X Height and weight of each piece in comments.
Please notify us if you book your shipment at admin@renegadetransportation.us
* Please note that all fields are required
Company Name
Contact Name
Contact Email
Telephone
000-000-0000
Fax
Origin - City
Origin State
Pickup Date
01/01/2010 Estimated Pickup Date
Destination City
Destination State
Delivery Date
01/01/2010 Estimated Delivery Date
Full or Partial Load:
Full Partial
Equipment Type
Auto Carrier Double Drop Dump Trailer Flatbed Flatbed w/Sides Flatbed or Step Deck Flatbed w/Tarps Flatbed w/Pallet Exchange Flatbed Hazardous Hopper Bottom Hotshot Lowboy Maxi Power Only Reefer Removable Gooseneck Reefer w/Pallet Exchange Reefer Hazardous Step Deck Tanker Van Van Air-Ride Van w/Curtains Van or Flatbed Van, Flatbed or Reefer Van or Reefer Van Vented Van w/Pallet Exchange Van Hazardous
Comments:
Max. number of characters
Total Shipment Weight
Length of Truck Needed
Unknown 8 10 12 24 48 53 57 Other - Specify in Comments Size truck required in feet
Miles
Rate
NOTE: If you don't offer a reasonable amount for the truck driver to make a living they will not except your shipment!
You must put in what you will pay in dollar amount! (Note: You can help our dispatchers by putting in two amounts Example [$100. to $150.00] what you want to pay and the highest amount you will pay.)
Additional Stops
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 Number of additional stops required
sales@renegadetransportation.us 785-354-7875
Dispatched By
Renegade Transportation
