Fields marked with * are required.
*	Existing Universal Logistics or Unsworth client? Yes No
*	Terms of Shipment	Door to Door Airport to Door Door to Airport Airport to Airport
*	Freight Payment Terms	Prepaid   Collect
ORIGIN
*	City
*	Country	Select a Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Terr. Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Dem. Rep. Cook Islands Costa Rica Cote d'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Espana Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDonald Is. Holy See (Vatican) Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (South) Korea, Republic of Kuwait Kyrgyzstan Lao Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Ireland Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Russian Federation Rwanda St. Kitts and Nevis St. Lucia St. Vincent/Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa S. Georgia/S. Sandwich Is. South Korea Spain Sri Lanka St. Helena St. Pierre and Miquelon Suriname Svalbard/Jan Mayen Is. Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States US Minor Outlying Is. Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wales Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
	Postal/Zip code
DESTINATION
*	City
*	Country	Select a Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Terr. Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Dem. Rep. Cook Islands Costa Rica Cote d'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador England Equatorial Guinea Eritrea Espana Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard/McDonald Is. Holy See (Vatican) Honduras Hong Kong Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (South) Korea, Republic of Kuwait Kyrgyzstan Lao Latvia Lebanon Lesotho Liberia Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Ireland Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Russian Federation Rwanda St. Kitts and Nevis St. Lucia St. Vincent/Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa S. Georgia/S. Sandwich Is. South Korea Spain Sri Lanka St. Helena St. Pierre and Miquelon Suriname Svalbard/Jan Mayen Is. Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States US Minor Outlying Is. Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S.) Wales Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe
	Postal/Zip code
DESCRIPTION OF FREIGHT
*	No. of Pieces
*	Total Weight	kgs lbs
	Dimensions	Show approximate size for each piece, (eg. 5 pcs @ 50 cm x 25 cm x 10 cm each)
*	Commodity
*	Hazardous?	Yes No
		* If Yes: UN #: Packing Group #: Class:
*	Do you require insurance?	Yes No * If Yes, Value of Shipment: Select Currency US Dollar . USD Canadian Dollar . CAD Afghanistan Afghani . AFA Albanian Lek . ALL Algerian Dinar . DZD Andorran Franc . ADF Andorran Peseta . ADP Angolan New Kwanza . AON Argentine Peso . ARS Aruban Florin . AWG Australian Dollar . AUD Austrian Schilling . ATS Bahamanian Dollar . BSD Bahraini Dinar . BHD Bangladeshi Taka . BDT Barbados Dollar . BBD Belgian Franc . BEF Belize Dollar . BZD Bermudian Dollar . BMD Bhutan Ngultrum . BTN Bolivian Boliviano . BOB Botswana Pula . BWP Brazilian Real . BRL British Pound . GBP Brunei Dollar . BND Bulgarian Lev . BGL Burundi Franc . BIF CFA Franc BCEAO . XOF CFA Franc BEAC . XAF Cambodian Riel . KHR Canadian Dollar . CAD Cape Verde Escudo . CVE Cayman Islands Dollar . KYD Chilean Peso . CLP Chinese Yuan Renminbi . CNY Colombian Peso . COP Comoros Franc . KMF Costa Rican Colon . CRC Croatian Kuna . HRK Cuban Peso . CUP Cyprus Pound . CYP Czech Koruna . CSK Danish Krone . DKK Djibouti Franc . DJF Dominican R. Peso . DOP Dutch Guilder . NLG ECU . XEU East Carribean Dollar . XCD Ecuador Sucre . ECS Egyptian Pound . EGP El Salvador Colon . SVC Estonian Kroon . EEK Ethiopian Birr . ETB Euro . EUR Falkland Islands Pound . FKP Fiji Dollar . FJD Finnish Markka . FIM French Franc . FRF Gambian Dalasi . GMD German Mark . DEM Ghanaian Cedi . GHC Gibraltar Pound . GIP Gold (oz.) . XAU Greek Drachma . GRD Guatemalan Quetzal . GTQ Guinea Franc . GNF Guyanese Dollar . GYD Haitian Gourde . HTG Honduran Lempira . HNL Hong Kong Dollar . HKD Hungarian Forint . HUF Iceland Krona . ISK Indian Rupee . INR Indonesian Rupiah . IDR Iranian Rial . IRR Iraqi Dinar . IQD Irish Punt . IEP Israeli New Shekel . ILS Italian Lira . ITL Jamaican Dollar . JMD Japanese Yen . JPY Jordanian Dinar . JOD Kazakhstan Tenge . KZT Kenyan Shilling . KES Kuwaiti Dinar . KWD Lao Kip . LAK Latvian Lats . LVL Lebanese Pound . LBP Lesotho Loti . LSL Liberian Dollar . LRD Libyan Dinar . LYD Lithuanian Litas . LTL Luxembourg Franc . LUF Macau Pataca . MOP Malagasy Franc . MGF Malawi Kwacha . MWK Malaysian Ringgit . MYR Maldive Rufiyaa . MVR Maltese Lira . MTL Mauritanian Ouguiya . MRO Mauritius Rupee . MUR Mexican Peso . MXP Mongolian Tugrik . MNT Moroccan Dirham . MAD Mozambique Metical . MZM Myanmar Kyat . MMK NL Antillian Guilder . ANG Namibia Dollar . NAD Nepalese Rupee . NPR New Zealand Dollar . NZD Nicaraguan Cordoba Oro . NIO Nigerian Naira . NGN North Korean Won . KPW Norwegian Kroner . NOK Omani Rial . OMR Pakistan Rupee . PKR Palladium (oz.) . XPD Panamanian Balboa . PAB Papua New Guinea Kina . PGK Paraguay Guarani . PYG Peruvian Nuevo Sol . PEN Philippine Peso . PHP Platinum (oz.) . XPT Polish Zloty . PLZ Portuguese Escudo . PTE Qatari Rial . QAR Romanian Leu . ROL Russian Rouble . RUB Samoan Tala . WST Sao Tome/Principe Dobra . STD Saudi Riyal . SAR Seychelles Rupee . SCR Sierra Leone Leone . SLL Silver (oz.) . XAG Singapore Dollar . SGD Slovak Koruna . SKK Slovenian Tolar . SIT Solomon Islands Dollar . SBD Somali Shilling . SOS South African Rand . ZAR South-Korean Won . KRW Spanish Peseta . ESP Sri Lanka Rupee . LKR St. Helena Pound . SHP Sudanese Dinar . SDD Sudanese Pound . SDP Suriname Guilder . SRG Swaziland Lilangeni . SZL Swedish Krona . SEK Swiss Franc . CHF Syrian Pound . SYP Taiwan Dollar . TWD Tanzanian Shilling . TZS Thai Baht . THB Tonga Pa'anga . TOP Trinidad/Tobago Dollar . TTD Tunisian Dinar . TND Turkish Lira . TRL Uganda Shilling . UGS Ukraine Hryvnia . UAH US Dollar . USD Uruguayan Peso . UYP Utd. Arab Emir. Dirham . AED Vanuatu Vatu . VUV Venezuelan Bolivar . VEB Vietnamese Dong . VND Yugoslav Dinar . YUN Zambian Kwacha . ZMK Zimbabwe Dollar . ZWD
	Special Instructions / Special Equipment
*	Expected Shipping Date
	What is more important to you?	Transit time Rate
*	Name
*	Title
*	Company
*	Type of Company	Large Importer Small Importer Large Exporter Small Exporter * Industry or Product Sector:
*	Address
*	City
*	Province/State	Postal/Zip Code
*	Country
*	Telephone	(include area code)
*	Fax	(include area code)
*	Email
	Comments	(eg. frequencey of shipments, new or existing business, etc.)

Universal Logistics operates under the Standard Trading Conditions of
the Canadian International Freight Forwarders Association (CIFFA).
(copy is available upon request)