QUOTE  REQUEST     ORIGIN INFORMATION ("SHIP FORM")   Company Name ........ First Name ........ Last Name  ........  Title ........   Address 1  ........  Address 2  ........  City ........ State/ Province  ........  Zip/ Postal Code ........ Country  ........  Telephone  ........  Fax  ........  Email  ........                            DESTINATION INFORMATION ("SHIP TO") City ........ Zip/ Postal Code ........ Shipment Weight  ........  No. of Pieces  ........  DIMENSIONS ........ Pieces Length Width Height                 Measurements ........   inches   centimeters   Description  ........     SHIPPING DETAILS Port of Loading ........ Port of Discharge  ........ Pick-up Date ........ Shipment Ready ........ 12:00 1:00 2:00 3:00 4:00 5:00 6:00 7:00 8:00 9:00 10:00 11:00   am  pm   Comments ........           Office: 7270 NW 35th Terr. Suite 201 • Miami, Florida 33126 Tel: (305) 594-1111 • Fax: (305) 594-0013 E:mail luis@bon-bini.com