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Instructions

To obtain your rate estimate, please complete and submit the following form. If you don't know the answer to a particular question, please place a single question mark in the field and submit the form. Thank you for your interest in Mill Creek Motor Freight.

( All fields are mandatory )

Customer Information

   Customer Information
     
Customer Name:
     
Customer E-Mail:
       
Delivery Date:   Delivery Time:
         
   Shipper Information
         
Shipper:
         
Name:
         
Street:
         
City:   Prov/State:
         
Postal/ZIP Code:      
         
Phone:   Fax:
         
Contact:
         
   Destination Information
         
Destination:
         
Name:
         
Street:
         
City:   Prov/State:
         
Postal/ZIP Code:      
         
Phone:   Fax:
         
Contact:
       
   Billing Information
       
Bill-To:
         
Name:
         
Street:
         
City:   Prov/State:
         
Postal/ZIP Code:      
         
Phone:   Fax:
         
Contact:  
         
   Special Instructions
         

Please denote any special shipping arrangements we need to be aware of: (including dangerous goods etc.)
 

   

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