Star Logistix/ Rate Request Form

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Your Email:

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Personal Information

Company Name *

Physical Address *

City *

State *

zipcode *

eg. www.user@domain.com

phone number *

cell phone

email address *

Load Informatiom

From *

Shipper Origin

State *

To *

State *

additional stop #1

State

additional stop #2

State

Type of equipment deisred

Commodity

if for van or flat and not oversized just type "FAK" or "legal" or eg. "Cat D9 dozer" etc. for Heavy Haul

Weight *

Dimension

Length

Specify Feet or inches or metric please

Width

Height

Addition comments

addition comments and or special requirements

you can also copy and paste diagrams or pics here

Landstar Ranger Independent Agent