Rate Request 
(please read "readme.txt" before using this form. 
"readme.txt" is available for downland @ 
www.sumnertariff.com/ratefileing/eform.htm ) 


  Company Name: -- 
   Org. Number: -- 
 Tariff Number: -- 
       HS Code: -- 

     Commodity: -- 
        Origin: -- 
      Via Port: -- 
   Destination: -- 
      Via Port: --
   Service Org: --
          Dest: --   

         Basis: --
     Packaging: --  
Container Size: --
           Haz: --  
Container Type: --
       Stowage:   
Container Temp:   

          Rate: -- 
      Currency: -- 
     Amendment: -- 
Effective Date: -- 
       Expires: -- 
                  (mm/dd/yy) 

Assessorial Surcharges:(Please List) 
-- 

Applicable Note to Rate:(Please List 
-- 

Request Confermation: --   
(confermation will be replied to the same e-mail 
address that was used to send this rate request) 

Contact info if diffrent than email address: 
--