Independent Container Line Online Booking Form

Customer Information
IMPORTANT NOTE For hazardous commodity bookings, please contact ICL for your Booking Request. For Contact Information Click Here.
*Shipper:			*Forwarder:
Purchase Order Reference #:			Contact:
Contact:			Telephone:
E-mail:			Facsimile:
Telephone:
Facsimile:
*A Shipper or Forwarder is required along with their contact info and telephone.
Rate Reference Information
	Service Contract No.		Reference No.
	Quotation No.
Vessel / Voyage Information
	Preferred Vessel	- OR -		Cargo Available Date
			Month:
			Day:
			Year:
Voyage #:
Intermodal Information
Intermodal Pickup?	Yes No		Loading Port:
If No, please state the Carrier Name below:			Discharge Port:
Carrier Name:			Final Destination:
If Yes, please provide intermodal details below.			Postal Code:
* Company:
* Contact Person:
* Contact Phone:
* Address:
Warehouse Name:
* Required Fields if an Intermodal Pickup
Cargo Nature Information
Commodity:
Cargo Nature:
Container Size / Type:
Quantity of Containers:
Weight per Container:
Units:	lbs kgs
Remarks: