Rate Requests

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="042fd5a3.jpg"> <div> <B>Welcome to Marpole Transport Ltd.</B><B>  </B><FONT SIZE="1" COLOR="#000000" FACE="Arial" ><B>  </B><B> |  </B></FONT><FONT SIZE="4" COLOR="#000000" FACE="Arial" ><B> </B></FONT></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="Welcome to Marpole Transport Ltd."><U>Welcome to Marpole Transport Ltd.</U></A>   |   <A HREF="id2.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A>   |   <A HREF="id3.htm" TARGET="_top" TITLE="Service Areas"><U>Service Areas</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Terminals"><U>Terminals</U></A>   |   <A HREF="id4.htm" TARGET="_top" TITLE="Equipment"><U>Equipment</U></A>   |   <B>Rate Requests</B>   |   <A HREF="id15.htm" TARGET="_top" TITLE="Employment Opportunites"><U>Employment Opportunites</U></A>   |   <A HREF="id16.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id18.htm" TARGET="_top" TITLE="Trans Isle Freightways"><U>Trans Isle Freightways</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="043d2b03.jpg"> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Rate Requests</I></div> <div> Please enter the following information for a rate request.</div> <bR> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Company,Address1,City,State,Zip,Phone,Fax,Product,Weight,Size,ValueGoods,Tarping,EquipType,Origin,Destination,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A rate request form was submitted"><input type="hidden" name="tlx_EmailTo" value="robin@marpoletransport.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Company:<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Prov / State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Postal Code:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Product:<br> <input type="text" name="Product" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Weight (kg or lb):<br> <input type="text" name="Weight" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Size (m or ft):<br> <input type="text" name="Size" size="30" maxlength="100"></td> </tr> <tr> <td> <input type="checkbox" name="ValueGoods" value="yes"> Value of Goods</td> </tr> <tr> <td align="left">Tarping Required:<br> <input type="text" name="Tarping" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Type of Equipment Required:<br> <input type="text" name="EquipType" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Origin of Pickup:<br> <input type="text" name="Origin" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Destination of Delivery:<br> <input type="text" name="Destination" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Additional Info (i.e. Pickup & Delivery Times):<br> <textarea name="Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> </td> </tr></table></body>