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Contact Information
Name*
Title
Company
Address
City
Zip/Postal Code
State /Province
Country
Phone*
Fax
Email*
Shipping Information
Ship from:
Ship to:
Address:
Address of Origin
Destination Address
City:
City of Origin
Destination City
State/Province:
State/Province of Origin
Destination State/Province
Country:
Country of Origin
Destination Country
Zip/Postal Code:
Zip/Postal Code for Original Address
Zip/Postal Code for Destination Address
Product Description
If you need to add more products, please click on the + sign to add a row. ** If available please provide H.S. Classification
Product Quantity Type of Goods Length (in.)

If you need to add more products, please click on the + sign to add a row.
** If available please provide H.S. Classification
Width (in.) Height (in.) Weight (lbs.)
Others
Mode of Transportation:
Please choose your preferred trasportation mode:
Container Size:
Please choose the desired Container Size:
Cargo available by:
Date when cargo is available
MM slash DD slash YYYY
Cargo required at destination by:
Desired Delivery Date
MM slash DD slash YYYY
Insurance amount requested:
Please indicate the desired insurance amount (if required)
Do you require customs clearance?
Please indicate if Custom Clearance is required
- Yes
- No
Are you an existing customer?
Please indicate if you are an existing customer
- Yes
- No
Where did you hear about us?
Please let us know how you have found us
Additional comments and instructions:
Please indicate if you have additional comments or instructions

Canaan Transport Group Incorporated – we are all you need