Rates Request

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=82 BGCOLOR="#006699" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>UniTransport  Logistics  Inc.</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="UniTransport Logistics Inc."><U><B>home</B></U></A></div> <div> <A HREF="id24.htm" TARGET="_top" TITLE="Index"><U>Index</U></A>   |   <A HREF="id2.htm" TARGET="_top" TITLE="Company Profile"><U>Company Profile</U></A>   |   <A HREF="id4.htm" TARGET="_top" TITLE="Organisational Chart"><U>Organisational Chart</U></A>   |   <A HREF="id3.htm" TARGET="_top" TITLE="Services"><U>Services</U></A>   |   <B>Rates Request</B>   |   <A HREF="id5.htm" TARGET="_top" TITLE="Our Location"><U>Our Location</U></A>   |   <A HREF="id15.htm" TARGET="_top" TITLE="News Events"><U>News & Events</U></A>   |   <A HREF="id6.htm" TARGET="_top" TITLE="Contact Us "><U>Contact Us </U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=398 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><U>Rates Request</U></I><I>                                                                                                        </I><A HREF="id25.htm" TARGET="_top" TITLE="Acceuil"><U><I><IMG SRC="1fd58150.gif" border=0 width="88" height="21" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></I></U></A></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <I>Please enter bellow as much informations as you can, we look forward to receiving your request and we hope to be in touch with you soon..</I></div> <bR> <div>  <div> <I> <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Company name:,Address:,City,State / Province:,Zip / P.Code:,Contact (Name and Title),Tel:,Fax:,Email:,Product Description:,Freight Class:,Number of Items:,Products Stackable?,How height?,Inbound by:,How loaded?,Planned Warehouse Inventory,Outbound Orders:,Inventory turns per year:,Rates needed by:,Start up date:,Transportation Rates:,Special Requirements:"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information. We look forward to contacting you soon."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="Inquiries@utli.zzn.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Company name:<br> <input type="text" name="Company name:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address:<br> <input type="text" name="Address:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State / Province:<br> <input type="text" name="State / Province:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip / P.Code:<br> <input type="text" name="Zip / P.Code:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Contact (Name and Title):<br> <input type="text" name="Contact (Name and Title)" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Phone:<br> <input type="text" name="Phone:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Fax:<br> <input type="text" name="Fax:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Product Description:<br> <textarea name="Product Description:" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Freight Class:<br> <textarea name="Freight Class:" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Number of Items:<br> <input type="text" name="Number of Items:" size="15" maxlength="100"></td> </tr> <tr> <td align="left">Product Stackable?<br> <input type="text" name="Prodcut Stackable?" size="15" maxlength="100"></td> </tr> <tr> <td align="left">How height?<br> <input type="text" name="How height?" size="15" maxlength="100"></td> </tr> <tr> <td align="left">Inbound by:<br> <INPUT TYPE="CHECKBOX" NAME="R_INBOUNDTRUCK" VALUE="Truck">-Truck / <INPUT TYPE="CHECKBOX" NAME="R_INBOUNDRAIL" VALUE="Rail">-Rail / <INPUT TYPE="CHECKBOX" NAME="R_INBOUNDCONT20" VALUE="Container 20ft">-Container 20' / <INPUT TYPE="CHECKBOX" NAME="R_INBOUNDCONT40" VALUE="Container 40ft">-Container 40' / <INPUT TYPE="CHECKBOX" NAME="R_INBOUNDCONT50" VALUE="Container 50ft">-Container 50' / <INPUT TYPE="CHECKBOX" NAME="R_INBOUNDCONT53" VALUE="Container 53ft">-Container 53' / </tr> <tr> <td align="left">How Loaded?<br> <INPUT TYPE="CHECKBOX" NAME="R_LOADEDPALLETS" VALUE="Pallets">-Pallets / <INPUT TYPE="CHECKBOX" NAME="R_LOADEDSLIP" VALUE="Slip Sheets">-Slip sheets / <INPUT TYPE="CHECKBOX" NAME="R_LOADEDFLOOR" VALUE="Floor Loaded">-Floor loaded </tr> <tr> <td align="left">Planned Warehouse Inventory:<br> <textarea name="Planned Warehouse Inventory:" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Outbound Orders:<br> <INPUT TYPE="CHECKBOX" NAME="R_OUTBOUNDFULL" VALUE="Full Pallets">-Full pallet/ <INPUT TYPE="CHECKBOX" NAME="R_OUTBOUNDTRUCK" VALUE="By Full Truck">-By Full Truck / <INPUT TYPE="CHECKBOX" NAME="R_OUTBOUNDLTL" VALUE="LTL">-LTL </tr> <tr> <td align="left">Inventory turns per year:<br> <input type="text" name="Inventory turns per year:" size="60" maxlength="100"></td> </tr> <tr> <td align="left">Rates needed by:<br> <input type="text" name="Rates needed by:" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Start up date:<br> <input type="text" name="Start up date:" size="30" maxlength="100"></td> </tr> <tr> <td> <input type="checkbox" name="Transportation Rates:" value="yes"> Transportation Rates needed:</td> </tr> <tr> <td align="left">Special Requirements:<br> <textarea name="Special Requirements:" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </I></div> </td> </tr></table></body>