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Customer Information

Company Name*

First Name*

Last Name*

City*

Phone

State/Province*

Zip Code*

Email Address*

Country

Postal Code

Order Information

Your Part Number Reference:

Do you have a written specification or drawing?YesNo

Would you like Freeman to design your Pallet?YesNo

Do you prefer a new or used pallet?NewUsedEither

Order Quantity (# of Pallets)?< 100100-500250-500Truckload

Chamfered:YesNo

Stenciled:YesNo

Entry:2-way4-way

Design:FlushWing (Wing Size)

Heat TreatedYesNo

Pallet Specifications

Top Deck

Thickness (please specify)

Number of Deck Boards (please specify)

Width (please specify)

Length(please specify)

Stringer/Blocks

Thickness (please specify)

Height (please specify)

Length(please specify) #Boards

Number of Stringers/Blocks(please specify)

Bottom Deck

Thickness (please specify)

Number of Deck Boards (please specify)

Width (please specify)

Length(please specify)

Additional Specifications:

Handling Requirements

Handle ByJacksFork Lifts

Runner StyleStringersBlock

Product on PalletBoxesBagsPailsother

Total weight of product on pallet:

How high will pallets be stacked (# of pallets):

Free span of pallet racks:

Do you need FWP to deliver or will pallets be picket up.DeliverWill Pickup

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