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Please fill out the form below to request a blind shipment with Dependable Highway Express.

This form is not intended for pick up requests.  To request a pick up please fill out the online pick up form or call (323) 526-2222 Ext. 4940 between 7am and 5pm PST.  Please allow a 2 hour window for pick up.

For our days of operation, please click here.

Fields marked with (*) are required to process the request.

The charge for this service will reflect per our Rules Tariff, Item 285; per bill of lading in conjunction with all other applicable charges.

Shipment Information
Email Address   * 
Pro #  
DHE LTL Pick Up / Dispatch #   * 
Pieces  
Weight  
Pickup Date  
 
Actual Shipper (Actual location of where the freight is picking up from)
Company Name   * 
Address   * 
City, State, Zip Code   * 
 
Blind Shipper (The shipper to be shown on delivery receipt, other than the Actual Shipper)
Company Name   * 
Address   * 
City, State, Zip Code   * 
 
Blind Consignee ((Enter only if the consignee is blind and/or different from original Bill of Lading, the address entered below is where the freight will actually deliver to.)
Company Name  
Address  
City, State, Zip Code  
 
Actual Debtor (If different from actual shipper)
Company Name  
Address  
City, State, Zip Code  
   
Comments
(Max. 100 characters)
   
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