Other Open Cargo Quote - Bertram Insurance Service

Shipment Origin (City & State)

Shipment Destination (City & State)

Value Of Goods (C)*

Freight Charge (F)*

Packaging Method*

Carrier Name*

Estimated Shipping Date*

Booking number

Description of Goods Being Shipped*

Total increased by 10% (C+F+10% per Admiralty Law)

Total Insured Value

Deductible

Total premium

First Name*

Last Name*

Company Name (If Applicable)

Phone Number*

Email Address*

Address*

Address 2

City

State*

Zip code*