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© 2002 Panama Transfer INC.
All Rights Reserved.
600 Lasalle Av.
Panama IA 51562
(712) 489-2020
800-489-2088

Our Service Says It All
600 Lasalle Av.
Panama IA 51562
(712) 489-2020
800-489-2088
Fax: 712-489-2413

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Shipper Information

Shipper Code 

Shipper 

Address 

City                 State                Zip 



Consignee Information

Consignee 

City                 State                  Zip 

Name of Person E-mailing    

Phone Number   


Freight Information

Number of Skids    

Number of Pieces     

Weight       

Hazardous Materials     Yes        No

Time Ready   

Close Time   

Special Instruction   

Purchase Order #   

Confirmation        Yes        No