Load Pick Up Request Form

To request a load pickup, please fill out this form completely and accurately.
This form will be emailed to Doug Lokemoen for immediate processing.

Company Name

Name

Email

Phone

Company Name:

Company Address:

Pickup Date

Shipper Name:

Shipper Address:

Shipper Phone:

Consignee Name:

Consignee Address:

Consignee Phone:

Delivery Date:

Load Contents:

Reference or PO #:

Refrigerated?:

Yes

No

Stop Offs?

Please email all stop off information to dlokemoen@trihi.com or fax to 715-536-4790. Thank you.