Shipping Estimate Request Form Please fill out the following information to request a shipping estimate. Please refer to our Terms of Sale for our shipping policies. Primelite Manufacturing Corp407 South Main StFreeport, NY 11520Tel: 516-868-4411 Please enable JavaScript in your browser to complete this form.Name *FirstLastCompany Name *Email *EmailConfirm EmailPhone *Shipping Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlease enter the complete shipping address.Signature Required *No SignatureIndirect Signature (Anyone at the address or a neighbor)Direct Signature (Anyone at the address)Special Delivery Locations *N/AAirport DeliveryChurch DeliveryConstruction/Utility Site DeliveryContainer Freight Station DeliveryCorrectional Facility DeliveryCountry Club DeliveryFarm DeliveryGolf Course DeliveryGovernment Site DeliveryHotel DeliveryMilitary Base DeliveryMines/Quarries DeliveryNursing Homes DeliveryPiers/Wharves DeliveryRanch DeliverySchool DeliveryShopping Mall DeliveryStorage Facility DeliveryTrade Show or ConventionSpecial Delivery Services *N/ALiftgate ServicesBy AppointmentBlind ShipmentInside DeliveryLimited Access DeliveryPlease select all that apply. Please select liftgate services if the location does not have a loading dock or forklift.Quote #Do you have a quote # that this is in reference to?Item & Quantity *Please list each item with the quantity. Please use one line per item.Questions or special requests?Do you have any questions or special requests regarding the shipping quote?Submit
