Request For Information/Quote Premier Freight Inc. Company Information  9511 East Walker Road, Salem, IN 47167 Phone: 812 967-8900 | Toll Free: 866 744-7321 | Fax: 812 967-8905 E-Mail: customerservice@premierfreight.net  Website: www.premierfreight.net Provide Freight Shipping Information Please provide information about your shipment, including all of the required fields marked with a asterisk *. PRIORITY: Please Select Priority -------------------------------------- Expedited Freight Request (product ships within 24 hours) Rapid Response (product ships within 48 to 72 hours) Standard Request for Quote *   SHIP FROM/ ORIGIN: City:  * State/Province: Select state/province -------------------------------------- Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon * Zip Code:     SHIP TO/ DESTINATION: City:  * State/Province: Select state/province -------------------------------------- Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territories Nova Scotia Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon * Zip Code: Ship By: Truck Intermodal/Train Air Freight Ship   Type of Truck Equipment Needed:* Van  Reefer Flatbed  Step Deck    Tarps Needed?  Yes No Full Truckload or Partial Load  Other   Product Information: Commodity: * Total Weight (pounds): * Dimensions (Optional): Length (inches) Width (inches): Height (inches): Can the commodity be stacked? Yes No  * Estimated Ship Date: Month --------------- January February March April May June July August September October November December Day ----------- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012 * Estimated Delivery Date: Month --------------- January February March April May June July August September October November December   Day ----------- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 21 22 23 24 25 26 27 28 29 30 31 2008 2009 2010 2011 2012 * Comments:   Company Name: * Point of Contact: * Phone Number (include extension if applicable): * Email Address: Fax Number: Preferred method of receiving your quote: Phone Fax E-mail To complete your request please enter the 5 character security code. The entry of this code helps improve performance by preventing automated scripts. request new code