Velta Rate Request Form
Please complete the following form to receive a no obligation quote for your shipment.
*
indicates required
Name:
Email:
Comment:
First name
*
Last name
*
Email address
*
Company name (if applicable)
Phone number
How did you hear about Velta?
*
Search Engine
Email Marketing
Social Media
Online Advert
Online Directory
Email Marketing
Industry Body
/ Trade Publication
Sales Team
Marketing Materials
Word of Mouth
Other
Would you like receive trade news & tips from us?
*
Yes please!
No thank you
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)
Service requirement(s)
Sea freight LCL
Sea freight FCL
Airfreight
Road freight
Courier
Warehousing
Additional services required:
Insurance
Customs brokerage
Fulfilment
Are the goods:
Hazardous
Non hazardous