Shipping Mode
[radio radio-601 use_label_element default:1 “Less-than-Truckload (LTL) Shipment” “Full Truckload (TL) Shipment”]
Shipment Location Information
[select departurecity “Departure City” “New York” “Los Angeles” “California” “Chicago” “Houston”]
[select destinationcity “Destination City” “New York” “Los Angeles” “California” “Chicago” “Houston”]
[radio liftgate use_label_element default:1 “Lift Gate at Pickup Point” “Limited Access Pick Up”]
[radio delivery use_label_element default:1 “Call Before Delivery” “Lift Gate at Delivery Point” “Limited Access Delivery” “Hazmat”]
[select departurecitypostalcode “Departure City postal Code” “100000” “120000” “130000” “140000” “150000”]
[select destinationcitypostalcode “Destination City postal Code” “100000” “120000” “130000” “140000” “150000”]
[select departurelocationtype “Departure Location Type” “Service Location” “Worksite location” “Off-Site Location” “Anchor Location” “Retail Location”]
[select destinationlocationtype “Destination Location Type” “Service Location” “Worksite location” “Off-Site Location” “Anchor Location” “Retail Location”]
Goods Information
[select menu-516 “Incoterms” “Express Delivery” “Insurance” “Packaging”]
[text* your-weight placeholder “Weight”]
[text* your-height placeholder “Height”]
[text* your-width placeholder “Width”]
[text* your-length placeholder “Length”]
[select quantity “Quantity” “1” “2” “3” “4” “5” “6”]
[select size “Package Size” “Small” “Normal” “Big”]
[radio radio-605 use_label_element default:1 “Incoterms” “Express Delivery” “Insurance”]
1
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