Held & Associates, Inc.

Quote Request

From:		Phone:
Company:		E-mail:

If you want your request to go to a specific person, please enter their first name:

Request for:	OCEAN EXPORT RATE(S)	LCL * CONTAINER # BREAKBULK/OVERSIZE * * Show details and dimensions below
	AIR EXPORT RATE(S)	Show details and dimensions below
	IMPORT RATE(S)	VIA AIR * VIA OCEAN LCL * CONTAINER # * Show details and dimensions below Have your own Customs Bond: YES NO

Origin Loading Point of Port:
Destination Port or Point and Country:
Commodity:
Value: U.S.$
Insurance Requested:	YES NO
Terms of Sale:	OPEN ACCOUNT CASH IN ADVANCE LETTER OF CREDIT DRAFT COLLECTION
Additional Packing / Containerization Required:	YES NO

# CONTAINERS - Please Complete for Ocean container load only.

No. Containers Required:	x 20' STD	x 20' OPEN TOP	x 20' FLAT TOP
	x 40' STD	x 40' OPEN TOP	x 40' FLAT TOP
	x 40' HIGH CUBE	x 45' HIGH CUBE	(Limited Areas)
	x Other:

If Ocean container load only, . Otherwise, complete fields below.

* DIMENSIONS - Please Complete for Air Rates or LCL Ocean / Breakbulk / Oversize / Packing
or if you want us to compute the required Containers for you.

1120 ERIE STREET * P.O. BOX 34470 * NORTH KANSAS CITY, MISSOURI USA 64116-0870
Tel# (816) 842-6701 *** Fax# (816) 842-6724 *** E-MAIL: INTL@HELD-ASSOC.COM

No. of Pieces	LBS/Piece	Total Weight	Length (inches)	Width (inches)	Height (inches)	CBF

Dimensional Weight (LBS)	Actual Weight (LBS)	Cubic Feet
	Actual Weight (KGS)	Cubic Meters