Date: Email: First Name: Last Name: Phone Number: Shipper: Consignee: Consignee Phone Number: Destination: Are we picking up or is it being dropped off to us? PickupDrop-off How will you be paying: PrepaidCollect No. Of Pieces Description of Articles Or Special Marks Gross Weight (subject to correction) Dimensions (Length*Width*Height) Special instructions/comments: GST# will be provided in the confirmation pdf Maximum liability of $2.00 per pound(or $4.41 per kg) unless declared valuation states otherwise *NOTE*Articles not properly packed accepted at shipper's risk