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We are a regional and national load-to-deliver, LTL, and truckload services company.

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Direct Customer Pickup

Pickup Form

General Information

Pickup Date (required)

Pickup Time

Delivery Date (required)

Delivery Time

Billing To Company Name (required)

Billing To Address (required)

Contact Email (required)

Shipper Origin Information

Shipper Name

Known Shippers

Shipper Address (required)

Shipper Phone (required)

Shipper Email (optional)

Add A 2nd Shipper (optional)
Add

2nd Shipper Name

2nd Shipper Address

2nd Shipper Phone

2nd Shipper Email

Add A Third Shipper (optional)
Add

3rd Shipper Name (required)

3rd Shipper Address (required)

3rd Shipper Phone (required)

3rd Shipper Email (optional)

Add A Fourth Shipper (optional)
Add

4th Shipper Name

4th Shipper Address

4th Shipper Phone

4th Shipper Email

Add A 5th Shipper (optional)
Add

5th Shipper Name (required)

5th Shipper Address (required)

5th Shipper Phone (required)

5th Shipper Email (optional)

Add A 6th Shipper (optional)
Add

6th Shipper Name

6th Shipper Address

6th Shipper Phone

6th Shipper Email

Add A 7th Shipper (optional)
Add

7th Shipper Name

7th Shipper Address

7th Shipper Phone

7th Shipper Email

Add An 8th Shipper
Add

8th Shipper Name

8th Shipper Address

8th Shipper Phone

8th Shipper Email

Add A 9th Shipper
Add

9th Shipper Name

9th Shipper Address

9th Shipper Phone

9th Shipper Email

Add A 10th Shipper (optional)
Add

10th Shipper Name

10th Shipper Address

10th Shipper Phone

10th Shipper Email

Consignee Delivery Information

Consignee Name (required)

Consignee Address (required)

Consignee Phone (required)

Consignee Email (optional)

Add A 2nd Consignee (optional)
Add

2nd Consignee Name

2nd Consignee Address

2nd Consignee Phone

2nd Consignee Email

Add A 3rd Consignee
Add

3rd Consignee Name

3rd Consignee Address

3rd Consignee Phone

3rd Consignee Email

Add A 4th Consignee
Add

4th Consignee Name

4th Consignee Address

4th Consignee Phone

4th Consignee Email

Add A 5th Consignee
Add

5th Consignee Name

5th Consignee Address

5th Consignee Phone

5th Consignee Email

Add A 6th Consignee
Add

6th Consignee Name

6th Consignee Address

6th Consignee Phone

6th Consignee Email

Add A 7th Consignee
Add

7th Consignee Name

7th Consignee Address

7th Consignee Phone

7th Consignee Email

Add A 8th Consignee
Add

8th Consignee Name

8th Consignee Address

8th Consignee Phone

8th Consignee Email

Add A 9th Consignee
Add

9th Consignee Name

9th Consignee Address

9th Consignee Phone

9th Consignee Email

Add A 10th Consignee
Add

10th Consignee Name

10th Consignee Address

10th Consignee Phone

10th Consignee Email

Freight Information

Number of Pieces (required)

Package Type (required)

Square Footage (ft) (required)

Weight (lbs) (required)

Article’s Description (required)

Guaranteed Delivery Time
Yes

Destination Type (required)

Lift Gate (required)

Hazmat (required)

Fragile (required)

Refrigeration (required)

Desired Temperature (f)

Cost & Pricing Information

Desired Rate / Budget ($) (required)

Rate Classification

What is the approximate value of the cargo (insurance)?

Notes (optional)

Pickup Upload

Customer Information

Customer Name (required)

Customer Address (required)

Customer Phone (required)

Customer Email (optional)

Reference Number (required)

Upload Order File

Desired Rate / Budget ($)

Order Notes (Include Ref #)

Direct Customer Pickup

Origin City (required)

Destination City (required)

Customer Email (required)

Upload Order File

Desired Rate / Budget ($)

Order Notes (Include Ref #)

3PL Rate Con

Customer Email (required)

Upload Order File

Reference Number (required)

Desired Rate / Budget ($)

Order Notes (Include Ref #)

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Contact Us Directly

custsvcs@ltrtransportation.com
+1 (720) 277-0030
3680 East 52nd Avenue Denver, CO 80216

Contact Us Today!

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