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Bol Spee Dee Delivery Service, Inc

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If Spee Dee Delivery has questions regarding this Bill of Lading, who should they
contact?
Name _____________________________________
Phone _____________________________________
Email
______________________________________
When the form is completely filled out, you can:
Press "Submit by Email" to transmit the request via email.
~or~
Press "Print Form" to print the request and manually fax it to Spee Dee LTL.
FAX: 320-240-7995
If assistance is needed to fill out this form, please contact Spee Dee Delivery at 320-
251-6697 and ask for the LTL Department.
Spee Dee Delivery Service, Inc. Pro Number _________
PO Box 1417, St Cloud, MN 56302-1417
Pro Number _________________
Attach tracking sticker here
www.speedeedelivery.com
Date _______________ Bill of Lading
Freight Charges billed to: check one Shipper Consignee Third Party
Billed to Shipper number _____________
Shipper Consignee
Name ______________________________ Name _____________________________
Company ___________________________ Company __________________________
Street ______________________________ Street _____________________________
City__________________ State _________ City__________________ State ________
Zip____________ Phone _______________ Zip____________ Phone ______________
Third Party billing information Driver Instructions:
Name ______________________________
Company ___________________________
Street _____________________________ PO# ______________
City__________________ State _________ Declared Value $ ______________
Zip____________ Phone _______________ COD Amount $ ______________
Shipments received are subject to the terms and conditions of Spee Dee Delivery’s Rates and Service Guidelines on the date of the issue of bill of
lading. Limit of Liability is agreed to be up to $100.00 per pallet unless higher value is declared and additional charges are paid.
Number
of Size of
Number
of HM Description of Articles
Total
Weight
Pallets Pallet
Items on Pallets
X
Hazardous Materials require a Hazardous Material shipping paper
in pounds
Lift Gate: Pick Up Delivery
Driver
Delivery
Notes
Condition of Freight:
Hand Unload: Pick Up Delivery
Residential: Pick Up Delivery
Appointment Required: Pick Up Delivery
Forwarding Fee: Yes No
Destination Surcharge: Yes No
Special Equipment: Yes No
The below Signatures certify that the above named materials are received in apparent good order and condition and are subject to
Spee Dee Delivery’s Rates and Service Guidelines published at www.speedeedelivery.com
, and are properly marked and labeled and
are in proper condition for transportation according to the applicable regulations of the Department of Transportation.
Shipper Spee Dee Consignee
Printed Name ___________________________ ___________________________ _____________________________
Signature ___________________________ ___________________________ _____________________________
Date / Time ___________________________ ___________________________ _____________________________
Submit by Email
Print Form
Spee Dee Delivery Service, Inc. Pro Number _________
PO Box 1417, St Cloud, MN 56302-1417
Pro Number _________________
Attach tracking sticker here
www.speedeedelivery.com
Date _______________ Bill of Lading
Freight Charges billed to: check one Shipper Consignee Third Party
Billed to Shipper number _____________
Shipper Consignee
Name ______________________________ Name _____________________________
Company ___________________________ Company __________________________
Street ______________________________ Street _____________________________
City__________________ State _________ City__________________ State ________
Zip____________ Phone _______________ Zip____________ Phone ______________
Third Party billing information Driver Instructions:
Name ______________________________
Company ___________________________
Street _____________________________ PO# ______________
City__________________ State _________ Declared Value $ ______________
Zip____________ Phone _______________ COD Amount $ ______________
Shipments received are subject to the terms and conditions of Spee Dee Delivery’s Rates and Service Guidelines on the date of the issue of bill of
lading. Limit of Liability is agreed to be up to $100.00 per pallet unless higher value is declared and additional charges are paid.
Number
of Size of
Number
of HM Description of Articles
Total
Weight
Pallets Pallet
Items on Pallets
X
Hazardous Materials require a Hazardous Material shipping paper
in pounds
Lift Gate: Pick Up Delivery
Driver
Delivery
Notes
Condition of Freight:
Hand Unload: Pick Up Delivery
Residential: Pick Up Delivery
Appointment Required: Pick Up Delivery
Forwarding Fee: Yes No
Destination Surcharge: Yes No
Special Equipment: Yes No
The below Signatures certify that the above named materials are received in apparent good order and condition and are subject to
Spee Dee Delivery’s Rates and Service Guidelines published at www.speedeedelivery.com
, and are properly marked and labeled and
are in proper condition for transportation according to the applicable regulations of the Department of Transportation.
Shipper Spee Dee Consignee
Printed Name ___________________________ ___________________________ _____________________________
Signature ___________________________ ___________________________ _____________________________
Date / Time ___________________________ ___________________________ _____________________________
Spee Dee Delivery Service, Inc. Pro Number _________
PO Box 1417, St Cloud, MN 56302-1417
Pro Number _________________
Attach tracking sticker here
www.speedeedelivery.com
Date _______________ Bill of Lading
Freight Charges billed to: check one Shipper Consignee Third Party
Billed to Shipper number _____________
Shipper Consignee
Name ______________________________ Name _____________________________
Company ___________________________ Company __________________________
Street ______________________________ Street _____________________________
City__________________ State _________ City__________________ State ________
Zip____________ Phone _______________ Zip____________ Phone ______________
Third Party billing information Driver Instructions:
Name ______________________________
Company ___________________________
Street _____________________________ PO# ______________
City__________________ State _________ Declared Value $ ______________
Zip____________ Phone _______________ COD Amount $ ______________
Shipments received are subject to the terms and conditions of Spee Dee Delivery’s Rates and Service Guidelines on the date of the issue of bill of
lading. Limit of Liability is agreed to be up to $100.00 per pallet unless higher value is declared and additional charges are paid.
Number
of Size of
Number
of HM Description of Articles
Total
Weight
Pallets Pallet
Items on Pallets
X
Hazardous Materials require a Hazardous Material shipping paper
in pounds
Lift Gate: Pick Up Delivery
Driver
Delivery
Notes
Condition of Freight:
Hand Unload: Pick Up Delivery
Residential: Pick Up Delivery
Appointment Required: Pick Up Delivery
Forwarding Fee: Yes No
Destination Surcharge: Yes No
Special Equipment: Yes No
The below Signatures certify that the above named materials are received in apparent good order and condition and are subject to
Spee Dee Delivery’s Rates and Service Guidelines published at www.speedeedelivery.com
, and are properly marked and labeled and
are in proper condition for transportation according to the applicable regulations of the Department of Transportation.
Shipper Spee Dee Consignee
Printed Name ___________________________ ___________________________ _____________________________
Signature ___________________________ ___________________________ _____________________________
Date / Time ___________________________ ___________________________ _____________________________
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Completed 11 November 2021

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