IF YOU ARE AN EXISTING RITE-WAY CUSTOMER IT IS NOT NECESSARY TO COMPLETE THE CUSTOMER INFORMATION.

Rite-Way Customer Number
Contact Name
Contact Phone #

Fax #

Contact Email

Company Name
Company Address 1
Company Address 2
City
State/Province
ZIP/Postal Code

GENERAL INFORMATION

Height
ft
in
Length
ft
in
Width
ft

in

Gross Weight

Short Description of Load

Anticipated Departure Date & Time

(PLEASE USE MILITARY TIME)

Anticipated Arrival Date

# of Lead/Chase Cars Needed

# of Pole Cars Needed

Driver's Name

Driver's Phone #
ROUTE INFORMATION
Origin/Point of Interest
Destination/Point of Interest
Prefered Routes

Comments