Multiple Shipment Form

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Conveyance Estimates (please estimate the percentage of your business in each conveyance segment)

Ocean Cargo

Domestic Rail Cargo

International Air Cargo

Domestic Air Cargo

Foreign Truck or Rail

Domestic Truck Cargo

Good Insured

Please select the top 9 commodities and estimated percentages.

Do you ship bulk goods on barges or vessels?

Percentage of shipments containerized

Geographic Scope

Select estimate percentages for the volume of business conducted in each region:

 Import from export to

 Import from export to

 Import from export to

 Import from export to

 Import from export to

 Import from export to

 Import from export to

 Import from export to

Do you require coverage for shipments to/from or within South America?pick one!
If yes, which countries?pick one!
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