Name (first and last):





 Postal/Zip Code:




 When would like the rate by?


 Weight per Load:

 If the following applies, please check the appropriate box

 Is Commodity Palletized?

 Dangerous Goods (Hazardous Materials)?

 Driver Assist load/unload required?


 If other, please specify:

 Live Load?

 Live Unload?

 Loading Time:

 Unloading time:

 Click here if it is required to spot the trailer:

 If you would like to spot the trailer, please specify time frame:

 Declared value, in Canadian Funds please:

 Please indicate how you would like us to send your quote. (In Canadian or U.S. funds):


Enter up to 5 Origin/Destination combinations with expected number of loads per month



Loads per Month


Any special instructions

E.g.: Rush delivery required, special border instructions, appointments required.


Tel: 519.337.7668 or 519.337.0810 | Fax: 519.332.0828 | Toll Free: 1.877.779.7668
759 Campbell St, Sarnia ON  N7T 2J6
Copyright, Sarnia Paving Stone Ltd., All Rights Reserved, 2006
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