My Lady Logistics - Physical Distribution Orders Request Physical Distribution/Order Form Thank you! Your information has been submitted successfully. There was an error submitting the form. Modaliities Order Form / Pricing Company Name Name (Point of Contact) Telephone Number Fax Number E-Mail address Order Reference # Shipping Transportation Mode Required OTR - Over-the Road Intermodal- Rail Way Ocean Freight Air Freight Shipping Equipment Flat Bed Cargo Van Refer (Refrigerated Cargo) Containers and / or Box Cars Palletized Shipment (LTL) Air Shipment - (Corrugated Containers) Covered Wagon Shipments Cargo / Product Description Pickup Location Zip Code Delivery Location Zip Code Delivery Location Physical Address Deploy Date Desired Delivery Date Required Order Total Cost Order Process Place order and Pay Save (5 days price hold) only Edit Fields Submit as RFQ Driving Directions Website Builder provided by Vistaprint MapQuest Terms and Conditions Maps/Directions are informational only. User assumes all risk of use. MapQuest, Vistaprint, and their suppliers make no representations or warranties about content, road conditions, route usability, or speed.