Freight Quote Request Form

First name *

Last name *

Email address *

Company name (if applicable)

Phone number

How did you hear about Velta? *

Would you like receive trade news & tips from us? *

Details will be sent via email on a monthly basis (you can choose to opt out of receiving correspondence at any time)

Origin of shipment - From (City/Town) *

Destination of shipment - To (City/Town) *

Number of packages for shipment:

Weight of shipment:

Description of items for shipment:

Shipment size: (length x height x width - in cm's)

Velta Rate Request Form