BERNARD TRANSPORTATION GROUP, INC.

Customer Shipping Questionnaire

Please complete the following form and it will be emailed to our office and someone will respond to you in 2 business days.
Shipping contact and phone number for BTG to use when scheduling a shipment.   Name:      Company:
  Title:        Phone:     
Contact and number for driver to call if he/she needs directions or other pertinent information if different from above.   Name:      Company:
  Title:        Phone:     
Do you require advanced notification of scheduling prior to a pick up? YES     NO  
Preferred Pick/Up Times
Hours of the Day

Example: If you close at 5pm and need the truck there by 4pm to be loaded by 5pm, please list 4pm as the available time.
(Please select all that apply. If your hours differ from the standard 8am-5 pm, list times here)
Morning Noon
Afternoon All Day
Preferred Pick/Up Days
Days of the Week

(If your hours differ from the standard M-F, please list days here).
Mon  Tue  Wed  Thu 
Fri  Sat  Sun
Do you have a specific protocol you would like the drivers to follow when making a p/u? YES     NO  
Do you have any special Equipment Restrictions or Requirements?

(Tractors with sleeper berths are standard equipment. Load Gross weight 44,500 LBS. or less.)
          45 ft (20-22 pallets)
          48 ft (22-24 pallets)
          53 ft (up to 26 pallets)
Do you require a driver to assist in loading?


(This can often, but not always result in an additional charge.)
YES     NO  
Do you require driver to have a hand pallet jack?


(This can often, but not always result in an additional charge.)
YES     NO  
Does your facility use a dock when loading?

YES     NO  
Additional comments, preferences, requests or suggestions:        
After you fill out our form, click on the print button if you want to save your instructions to us.